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SR0076209
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076209
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Entry Properties
Last modified
7/30/2019 4:50:57 PM
Creation date
12/5/2017 9:50:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076209
PE
4378
STREET_NUMBER
25000
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23911024
ENTERED_DATE
11/14/2016 12:00:00 AM
SITE_LOCATION
25000 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\B\BIRD\25000\SR0076209.PDF
QuestysFileName
SR0076209
QuestysRecordID
3258875
QuestysRecordType
12
Tags
EHD - Public
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- - CHMM OF CUSTODY <br /> ENVIRONMENTAL-- AGRICULTUVAL- <br /> � Speciat www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> III"�IIIII�I �IIIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIII� 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 lI <br /> Water Quality Division 5 <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 =° <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada b Q 2 a <br /> 0 <br /> Project Name: r ; <br /> Purchase Order Number: U w 3 a <br /> w d a <br /> Quote Number: ST 20160309-01 a00 <br /> x N <br /> E o H <br /> Sampler(s) to w z > O Q <br /> Sampling Fee: Pickup Fee: c ? ? C4 x F <br /> o v: CL <br /> cv m y <br /> Compositor Setup Date: /_/ Time:_/ Ez O c z c O Ca <br /> 0 <br /> Lab Number: STK 3-17919 0 <br /> 1>5 oa. <br /> Sam Date Time 5 ro "" = E c E x d <br /> p Location Description T fa c o v v a <br /> Num Sampled Sampled p p m O U`= (D N i�-: w u <br /> I G DW <br /> IZemarks: 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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