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WP0039628
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039628
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Entry Properties
Last modified
7/21/2021 4:43:01 PM
Creation date
3/16/2020 3:56:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039628
PE
4378
STREET_NUMBER
251
Direction
E
STREET_NAME
HOMESTEAD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
23926004
ENTERED_DATE
5/21/2019 12:00:00 AM
SITE_LOCATION
251 E HOMESTEAD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a. <br /> a� <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada Q ¢ 2 <br /> Project Name: W <br /> Purchase Order Number: U w ua <br /> 54 <br /> Quote Number: ST 20160309-01 N �' x a :9 <br /> E o00 <br /> E� <br /> Sampler(s) o z > O Q <br /> x <br /> W o 'C v] QO W <br /> Sampling Fee: Pickup Fee: c p o a a <br /> c <br /> Compositor Setup Date: / / Time: / E z p x o z O z E <br /> E oV) o cz u Q E- <br /> Lab Number: STK 3-17919 -0 w a M a a n. a <br /> 0 0 E- CL' .., ° E— II <br /> Samp Date Time o o x ° <br /> Num Location Description Sampled Sampled " ' o d ° ° <br /> I G DW <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 /> I <br />
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