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SR0081784 SSCRPT
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SR0081784 SSCRPT
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Entry Properties
Last modified
4/15/2020 5:09:40 AM
Creation date
4/14/2020 2:35:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0081784
PE
2603
FACILITY_NAME
28960 S BIRD RD
STREET_NUMBER
28960
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25502064
ENTERED_DATE
2/24/2020 12:00:00 AM
SITE_LOCATION
28960 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ML Special www.fgunc.com <br /> ENVIRONMENTAL AORICULTURAL <br /> Analytical ChemistsF Customer Copy (2 of 3) <br /> 1 1 t j t ! III(�lll�lllf --- e5730:02106!21117 TEST DESCRIPTION - See Reverse sine for C!mtainer.Pre--erva6vv and Sumplin-e information <br /> Client: Sart.loaquin County ElID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Stater Quality Division 3 i <br /> Attn:Rodney Estrada M- <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fas: 3 J; <br /> Contact Person: Rodney Estrada "n < <br /> Project Name: <br /> Purchase Order Number: <br /> > <br /> Quote Number: ST 20160309-01 a ` _ : <br /> Sarnpler(s) <br /> 11 •j; � `� �J 4� — <br /> Sampling Fee: Pickup Fee: ------_ <br /> Compositor Setup Date: !_/_ Tim: !_ E ' z = E <br /> .ab Number: STK 3-179]9 v E a_ r _ - <br /> `+am Date 'Fiat <br /> p location Descriptions - 1 <br /> Num Sample t Samplc i <br /> Relinquished Date: Time: Relinquished Date: IIrn . Rr:IngI.t0eJ <br /> Received Bv: Date: Tuuc: Received By: Date: I imc. Received By: Uatr I nrn-: <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 Chiu,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)525-41721 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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