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WP0039103
EnvironmentalHealth
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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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= CHAIn OF CUSTODY <br /> FG <br /> Specials www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analvtical ChemistsFid Copy (3 of 3) <br /> f. <br /> 35730:02/0612 TEST DESCRIPTION - See Reverse side for Container,Prese4ative and Sampling information <br /> -ri <br /> Client:" San Joaquin County EHD <br /> Addre' : San Joaquin Co.Environmental Health Dep <br /> ` Water Quality Division <br /> j,. Attn:Rodney Estrada 3 `) <br /> 1868 East Hazelton Ave. 'Ztu <br /> Stockton,CA 95205 =` <br /> a <br /> Phone: (209)468-0331 Fax: � � <br /> C7 W <br /> 00 <br /> Contact Person: Rodney Estrada � <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> � o F <br /> Sampler(s) o w z S O O0 A <br /> =vii ¢O` moo° W <br /> Sampling Fee: Pickup Fee: ° a <br /> Compositor Setup Date: / / Time: / E p z p a ^' �°O z E <br /> --- rcc c� oZ ez u A h <br /> 0 <br /> Lab Number: , STK 3-17919 o vi ii & Up <br /> o F o4 <br /> Samp Date Time ss 79 <br /> Location Description o -5 U t7 cv 0 xCLNum Sampled Sampled O <br /> s u. <br /> I G DW <br /> Remark~: Relinquished Date-' Time: Relinquished Dare: Time: Relinquished Date: Time: <br /> Received By: Daie: Dime: 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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