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WP0040372
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040372
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Entry Properties
Last modified
4/25/2024 11:30:02 AM
Creation date
8/7/2020 4:26:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040372
PE
4366
STREET_NUMBER
4700
Direction
W
STREET_NAME
LOVELY
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25010013
ENTERED_DATE
12/10/2019 12:00:00 AM
SITE_LOCATION
4700 W LOVELY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> _AGRICULTUKAL Special www.fglinc.com <br /> Analytical Chemists <br /> 4 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 a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> v <br /> Phone: (209)468-0331 Fax: x <br /> w 3 <br /> Contact Person: Rodney Estrada A d <br /> Project Name: <br /> Purchase Order Number: J, 0Aa v w <br /> Quote Number: ST 20160309-01 , y w <br /> Q! N <br /> 0 w C4 E00F <br /> Sampler(s) lI 1ii i U W z T A <br /> * R 0* a <br /> 5a Q" w <br /> Sampling Fee: Pickup Fee: 5 a c <br /> dl O 04 N cd cd M b z y y <br /> Compositor Setup Date:_/_/ Time: /_ E o z pz ;z E <br /> °o o c u A F <br /> Lab Number: STK 3-17919 0 a, U x <br /> N x x <br /> 0 0 '5H �O �w °° E� <br /> cfDate Time s pSamp MLocation Description 'o� <br /> w wNum Sampled Sampled :9 w o v <br /> 1 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 />
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