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WP0038045
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038045
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Entry Properties
Last modified
9/29/2018 11:50:53 PM
Creation date
7/24/2018 2:01:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038045
PE
4370
STREET_NUMBER
19612
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
20907056
ENTERED_DATE
3/16/2018 12:00:00 AM
SITE_LOCATION
19612 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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. r <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 <br /> Atm:Rodney Estrada aa' <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =" <br /> iu <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> Project Name: C7 <br /> Purchase Order Number: V w ua <br /> Quote Number: ST 20160309-01 w ¢ a <br /> E o F <br /> Sampler(s) o w z V, �_ Q <br /> t: I _1 U * a O <br /> ca 0 Ei P. ¢ <br /> ° O W <br /> Sampling Fee: Pickup Fee: ? r o V 'N a <br /> G <br /> Compositor Setup Date:_/ / Time:_/_ a z p 94n �'z 1 O �� � E <br /> Lab Number: STK 3-17919 0 (n a as vas x y x x <br /> 0 0 <br /> Samp Date Time -a K '� =o o <br /> Num led Samled A °x b <br /> Location Description Sam " >' C `" `d o " a <br /> P P F• a M O U t7 c <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Reeek ed 13c: 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 /> Ph8ne:(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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