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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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CHAIN OF CUSTODY <br /> ENVIR6NMENTAL FGL AGRICULTUKAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> Al 1111111111 IE 1111 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 a`J <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: P4 <br /> a <br /> Contact Person: Rodney Estrada Q Q <br /> = a <br /> Project Name: <br /> Purchase Order Number: ; u ua <br /> Quote Number: ST 20160309-0100 <br /> Sampler(s) o z T Q <br /> U * 0. O <br /> Samplung Fee: Pickup Fee: <br /> Nit y <br /> Compositor Setup Date: / / Time: / E � z p � i �� a O �5 E <br /> O c a o z <br /> rn E <br /> Lab Number: STK 3-17919 0 i% U x N x l <br /> o y H cLO Ea �? F II o a <br /> Samp Date Time -S Q s `�—E �2 E a b 'o <br /> Location Description v > o N ! a v <br /> Num Sampled Sampled a. m X O U <br /> I G DW 1 1.1.1 <br /> I � <br /> Remarks: Relinquished Date: Time: Relinquished Date: "rime: 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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