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WP0038539
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038539
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Entry Properties
Last modified
9/29/2018 11:49:55 PM
Creation date
8/27/2018 2:44:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038539
PE
4366
STREET_NUMBER
6257
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25209035
ENTERED_DATE
7/12/2018 12:00:00 AM
SITE_LOCATION
6257 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CI MM OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgmc.com <br /> Analytical Chemists <br /> 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: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3r- <br /> Contact Person: Rodney Estrada A <br /> Project Name:i_; f f)� �"J 1 L! ✓N t , C4r° <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> o w a 0 E' 000 F. <br /> Sampler(s) o rw z T O A <br /> �) a 0 <br /> [ (A1 <br /> � <br /> amC^qSampling Fee: Pickup Fee: o �M <br /> z p azTime: _ o b <br /> Compositor Setup Date:_ o A <br /> wz <br /> i <br /> a <br /> 0 <br /> tz <br /> Lab Number: STK 3-17919 o r% a, K e Up m .+ x x <br /> 0 0 a F a o Q w a F II a a <br /> o <br /> Samp Date Time 0 =o °x v ° <br /> Location Description N w =a: ', '-Num Sampled Sampled O US <br /> 1 G DW <br /> Remark: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bc: Date: Time: Received By: Date: Time: Received By: Date: I ime: <br /> Corporate Offices 8,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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