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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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-_-= CHAiri OF CUSTODY <br /> ENVIRONMENTALeAGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35730:02/0612017 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 <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> c? w <br /> Contact Person: Rodney Estrada O <br /> Project Name: va <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N w ¢ V) 00 <br /> a <br /> E o F <br /> Sampler(s) E w z Q <br /> * v C) a p <br /> Sampling Fee: Pickup Fee: 6i) a y o ? n a <br /> N M v <br /> Compositor Setup Date: / / Time:—/ E —°Jn z 0 v z v O z E <br /> -- 4 �z <br /> Lab Number: STK 3-17919 0 o V) a c o v x = x <br /> ' <br /> Samp Location Description Date Time y a b ^N e n v <br /> Num Sampled Sampled � 4 a ar m O <br /> I G DW 1 LII <br /> Remarks: Relinqukhed 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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