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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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Entry Properties
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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CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fgUnc.com <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> - - — 35730:02/0612017 TEST DESCRIPI )Nr See Recersc side ii:r Container. Preservative and Sampling intixmation'$ <br /> Client: San Joaquin County'EHD <br /> Address: San Joaquin Co. EnvironmentalHealthDep <br /> Water Quality Division 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> n. <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada Q ¢ a <br /> Project Name: w„ <br /> Purchase Order Number: u w 3 v^, o, w <br /> Quote Number: ST 20160309-01 ¢ °N <br /> E o E- <br /> Sampler(s) E <br /> � C)a 00 <br /> Q <br /> x O <br /> Sampling Fee: Pickup Fee: <br /> V) 4� <br /> G. <br /> L N M y <br /> Compositor Setup Date: / / Time: / E z p :z v O z z E <br /> 0 o c <br /> v E .. x Ic Q Lab Number:Number: STK 3-17919 0 C% iE a U a ? <br /> aO 0 ;P F. <br /> Samp Date Time o <br /> o <br /> b ? <br /> Location Description Sampled Sampled ' <br /> Num <br /> I P a. ca a O U — <br /> I G DW I 11.1 <br /> Remark,,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: I'im <br /> Received Bv: 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 /> Canta 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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