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WP0039103
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039103
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Entry Properties
Last modified
12/29/2021 2:09:27 PM
Creation date
5/24/2019 3:47:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039103
PE
4366
STREET_NUMBER
23751
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25010003
ENTERED_DATE
12/12/2018 12:00:00 AM
SITE_LOCATION
23751 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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_ CHMN OFUSTODY <br /> ENVIRONMENTAL AGRICULTURAL- - Special www.fg .com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCR N - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Env ironmentatIealth Dep <br /> Water Quality Division 1 ;a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> Fn" <br /> c7 w 3 <br /> Contact Person: Rodney Estrada %4% <br /> �n Cn <br /> A d pF" <br /> Project Name:2�]1�\ L) . b %4% � - O w v� <br /> Purchase Order Number: <br /> w ¢ a <br /> Quote Number: ST 20160309-01 y N <br /> o W a ayi 00 A <br /> Sampler(s) U Cn O a <br /> Sampling Fee: Pickup Fee: [ a C4 a <br /> ♦y -y O a''U N ,d is``' .v z V a, <br /> Compositor Setup Date:_/_/_ Time:_/ z O c o Z zx w Gj <br /> Lab Number: STK 3-17919 0 a c v ca y x <br /> Samp Location Description Date Time T o M� o� 0 C, 2 0 y <br /> Num Sampled Sampled F p, 0.1 O U C7 c4 is. u <br /> G DW 1' <br /> Remarks: Relinquished Date:--W e: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax: (805)783-2912 Fax:(559)734-8435 <br />
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