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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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DAfonskaia
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EHD - Public
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- -= CI mri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists <br /> 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: Sjn Joaquin Co.Environmental Health Dep <br /> 'Vater Quality Division j <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. a <br /> Stockton,CA 95205 <br /> lu <br /> Pfh e: (209)468-0331 Fax: w ro <br /> tact Person: Rodney Estrada Ca ¢ u <br /> Project Name: <br /> I < < O W o cx <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a <br /> E o F- <br /> Sampler(s) E W z <br /> U * rn O a a <br /> Sampling Fee: Pickup Fee: 9 ? ? p a <br /> Compositor Setup Date: /—/ Time:—/ o z p n Z O z E <br /> v� 8 0 z <br /> Lab Number: STK 3-17919 o w c%0 0a a = o n 0 ?? F. P4 O i- <br /> II <br /> Samp Date Time a o a o x <br /> Location Description > o sa <br /> e,, <br /> Num Sampled Sampled o( a M M O U <br /> I G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> t� <br /> Received B\: Date: Time: Received By: Date: Time: Received BN- 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 /> 'S4nta 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)7349473 <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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