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WP0037740
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037740
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Entry Properties
Last modified
2/12/2019 1:48:08 PM
Creation date
9/27/2018 8:36:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037740
PE
4366
STREET_NUMBER
28877
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25322005
ENTERED_DATE
12/28/2017 12:00:00 AM
SITE_LOCATION
28877 S CHRISMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CHMN OF CUSTODY <br /> EMVIRONMENTAL — - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists — Cu"stomer Copy (2 of 3) <br /> 35730:02106/2017 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: <br /> Contact Person: Rodney Estrada Q E <br /> ';711 �'1`1 S'R C W Y o <br /> Project Name: +S M <br /> Purchase Order Number: K� + [ U w in ua <br /> Quote Number: ST 20160309-01 h a00 <br /> EF o E- <br /> S npler(s) E w zto) I O A <br /> f.1.1n * $ W <br /> Sampling Fee: Pickup Fee: 5 a `� ' w x F <br /> Compositor Setup Date:_/_/_ Time: i E o z 00 Z v O <br /> E E z <br /> Lab Number: STK 3-17919 0 50s cc^ V x N x x <br /> o H <br /> Samp Date Time °' o a x n d <br /> Num Location Description Sampled Sampled -9. <br /> PF• a mo U� C7N ww w <br /> G DW <br /> Remark.: inquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1'(-"'f 11.)Cry 0.2l t g b w - <br /> Received By: 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 /> 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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