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WP0040629
EnvironmentalHealth
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LORRAINE
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9201
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040629
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Entry Properties
Last modified
12/27/2021 11:15:13 AM
Creation date
4/26/2021 10:04:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040629
PE
4366
STREET_NUMBER
9201
Direction
W
STREET_NAME
LORRAINE
STREET_TYPE
RD
City
TRACY
Zip
9537_-
APN
24806008
ENTERED_DATE
3/13/2020 12:00:00 AM
SITE_LOCATION
9201 W LORRAINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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IUL Special Ci�rl OF CUSTODY <br /> RAL <br /> p www.fgUnc.com <br /> Analytical Chernistss: La6pratory Copy (1 of 3) <br /> Y• <br /> ii <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Contained',Preservative.and Saritpling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 13 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: g-LO <br /> o <br /> C4 <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y `� <br /> Sampler(s) o vWi z <br /> a <br /> Sampling Fee: Pickup Fee: ? a <br /> Compositor Setup Date: /_/_ Time: / E E. z O 04w m <br /> -- M 6 i` Qd <br /> Lab Number: STK 3-17919 o Cn a �T' p <br /> b o <br /> Samp Date Time -5 $ E <br /> Num Location Description Sampled Sampled E= a° PC ai O w v <br /> 0 Travel Blank 3`3 ti� fl c�� G LBW �2 <br /> I l 31�I1y1 \�� G DW 4 <br /> Remarks: Relinquished Date: Time: R led Dace: Time: R fished Date: mte: <br /> 1 <br /> c� 1Z60 J3 W7 /7 <br /> By: `Date: Time: Received By: 7D ,e LTimej: ecei y ate: 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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