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SR0083278_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083278_SSNL
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Entry Properties
Last modified
3/17/2021 3:25:07 PM
Creation date
3/17/2021 12:55:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083278
PE
2602
FACILITY_NAME
NASSIR MAKMOUD / VALENTINA KIREYEVA
STREET_NUMBER
21644
Direction
S
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21219062
ENTERED_DATE
2/12/2021 12:00:00 AM
SITE_LOCATION
21644 S CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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0-wri OF CUSTODY <br /> Special www.fgltnc.com <br /> Field Copy Q cel'3) <br /> .........----------------- <br /> M730,0210612017 TE*ST DESCRI(ITION See Rever.w'sille Rif Coutairwr. pre".'rvalivc;A Ilk)Samplilit". 1111mmalml)- <br /> Clicifl; San Joaquin County U1,11D <br /> Address. San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attm Rodney Estrada <br /> 1868 East Hazelton Ave. U <br /> Stockton,CA 95205 <br /> R. <br /> Plwne; (209)468-0331 Fax: <br /> Contact Per,-Am, ROdney Estrada <br /> Pr(ljject Name: <br /> Porcli-aw Order Number. <br /> > <br /> Quote Number: S-7`20160309-01 w <br /> w E <br /> sampler(s) w <br /> a-, E4 <br /> ZI <br /> Sampling 1"": Pickup Fee: <br /> Compositor Setup Date: i. rinw. -6 <br /> 0 <br /> z <br /> Lab Number: STK 3-17919 .91 On <br /> Salop Date Time <br /> Location De"Criplioll <br /> Nmn Sampled Sampled >, <br /> DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: "isle: Relin(juk-hed Date, 'rime: <br /> Received j[ty:_ Paw, Time, Received By: Date; Time: Received By: Date: Time: <br /> �rorAate Offices I-pboratoly Office Laboratory Office Lab2rat9r1( Offlee&Laboratory Offlre&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:(539)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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