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WP0039641
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039641
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Entry Properties
Last modified
3/24/2022 2:42:50 PM
Creation date
7/31/2019 9:55:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039641
PE
4380
STREET_NUMBER
1739
Direction
W
STREET_NAME
PIPER
STREET_TYPE
PL
City
TRACY
Zip
95306-
APN
25531034
ENTERED_DATE
5/22/2019 12:00:00 AM
SITE_LOCATION
1739 W PIPER PL
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIlY OF CUSTODY <br /> ENVIRONMENTAL — Special www.fgUnc.com <br /> Analytical Chemists_ - Customer Copy (2 of 3) <br /> I� 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> a <br /> 'L <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ¢ j <br /> x {I <br /> Project Name: �, v <br /> Purchase Order Number: U w v w <br /> W <br /> Quote Number: SC 20160309-01 <br /> E o [- <br /> a W O. 00 <br /> Sampler(s) o v Z, O Q <br /> U x a O <br /> o ^a ¢o 0 w <br /> Sampling Fee: Pickup Fee: a' v 5 <br /> a y C FL'v ni y v <br /> Compositor Setup p Date: / / Time: / E n, z O ._z y Q ;, , E <br /> C's o c z <br /> 0 <br /> Lab Number: STK 3-17919 0 Cn a. n: U x x x <br /> 0 o y HO Ea ?, H II a a <br /> ISamp Date Time -E ' of <br /> Location Description NSam ]'d Sampled <br /> 2 O U - Oc" <br /> r4 <br /> 1 G DW <br /> I <br /> !Remarks: Relinquished Date: Time: 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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