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WP0038049
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038049
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Entry Properties
Last modified
9/29/2018 11:50:14 PM
Creation date
8/27/2018 9:12:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038049
PE
4370
STREET_NUMBER
8934
Direction
W
STREET_NAME
SCHULTE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25202003
ENTERED_DATE
3/16/2018 12:00:00 AM
SITE_LOCATION
8934 W SCHULTE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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- -= CHMN OF CUSTODY <br /> . -- RAL Special www.fgmc.com <br /> Analytical Chemists Customer Copy (2 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: S n Joaquin Co. Environmental Health Dep <br /> ater Quality Division j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phie: (209)468-0331 Fax: <br /> Oia€ttfact Person: Rodney Estrada <br /> Project Name: 41 L1 C ^.� C7 rn ro <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o E• <br /> 00 <br /> �, <br /> Sampler(s) o vwi Z 0 p A <br /> t U + v� p+ p <br /> eo ° �O O W <br /> Sampling'Pee: Pickup Fee: �` ; c °"eq o <br /> p „ o ,5 <br /> Compositor Setup Date:_/_/_ Time:_/_ ry z O o z O <br /> z u A <br /> U <br /> Lab Number: STK 3-17919 0 wiT d a <br /> amp Date Time <br /> Location Descrilui n $ , c �oa"N dF"�xaNum Sampled Sampled >' N "w) wOU O I"I <br /> do <br /> E0- <br /> I G DW <br /> Remark,: Relinquished Date: Time: Relinquished Dare: Time: Relinquished Dade: Time: <br /> ?X, <br /> vIj:k <br /> Received B�: Date: Time: Received By: Date: Time: Received Bq: 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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