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WP0039810
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039810
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Entry Properties
Last modified
9/30/2019 8:41:48 AM
Creation date
9/30/2019 8:32:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039810
PE
4370
STREET_NUMBER
1400
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25515027
ENTERED_DATE
7/11/2019 12:00:00 AM
SITE_LOCATION
1400 W DURHAM FERRY RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35731:02/06/2017 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 <br /> Attn:Rodney Estrada V <br /> 1868 East Hazelton Ave. U <br /> cc <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada H A Q <br /> Project NameAt I. ) t o)j et. a I < 4 a M rA <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N a ¢` ' <br /> I~ <br /> Sampler(s) z T O <br /> rn as T <br /> O <br /> Sampling Fee: Pickup Fee: 'c <br /> a <br /> Compositor Setup Date: /_/_ Time:_/_ z O a o <br /> E o� q <br /> Lab Number: STK 3-17919 o w T .. o p <br /> 0 0 9 ? F a� R� <br /> Samp Date Time •s & '� U Q 7E <br /> Num Location Description Sampled Sampled 0 H a9 ca oa O w(= <br /> I :RJ- <br /> 0 Travel Blank G LBW d <br /> 1 �;G:q` G DW 4 <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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