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WP0037920
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037920
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Last modified
9/29/2018 11:35:23 PM
Creation date
8/2/2018 8:35:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037920
PE
4378
STREET_NUMBER
3203
Direction
W
STREET_NAME
KENNER
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25506061
ENTERED_DATE
2/5/2018 12:00:00 AM
SITE_LOCATION
3203 W KENNER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
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EHD - Public
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_ CHMN OF CUSTODY <br /> ENVIRONMENTAL • . Special www.fgUnc.com <br /> Analytical Chemists <br /> )Customer Copy ('_ 4 3` <br /> 1111111111111 ill 11111141111111111111111111111 R,Jill <br /> 7 1 AJ:02/06/2017 ILSI DLS('RIPFION See Re�ersc side tier(on(°iner. Presercatt�c and Sampling intorutauon <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 b <br /> Phone: (209)468-0331 Fax: x <br /> cj w 3 <br /> Contact Person: Rodney Estrada O ¢ aF <br /> w x <br /> Project Name: <br /> Purchase Order Number: U w 3 vi a w <br /> Quote Number: ST 20160309-01 u < <br /> n W W v F 000 E- <br /> Sampler(s) o cw z O O <br /> U " V) a a O <br /> C O c Q Q M W <br /> Sampling Fee: Pickup Fee: S <br /> C cd C Nm <br /> Compositor Setup Date: / /_ Time: / o z O z O v <br /> 0 <br /> Lab Number: STK 3-17919 0 <br /> Samp Date Time c o <br /> Location Description v b v a v <br /> Num Sampled Sampled m m O U <br /> 1 G Dw' I l,i,l <br /> Remarks Relinquished Date: TiiJne: Relinquished Datc: Time: Relinquished Date: Time: <br /> l: <br /> Received Bv: Date: Time: Received 13 : Date: Time: Received By: Date: Time: <br /> 1� <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 /> 6anta 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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