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WP0036530
Environmental Health - Public
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DURHAM FERRY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036530
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Entry Properties
Last modified
1/8/2019 9:13:47 AM
Creation date
1/8/2019 9:05:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036530
PE
4378
STREET_NUMBER
6120
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25325026
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
6120 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CHmri OF CUSTODY <br /> AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 3;730:02/06!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. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada t Q <br /> Project Name: C7 �n <br /> Purchase Order Number: U w `��' <br /> Quote Number: ST 20160309-01 o w Q a a <br /> a W 5 H 00F, <br /> Sampler(s) o z A <br /> V ? rn a O <br /> �a <M x <br /> Sampling Fee: Pickup Fee: c ? n <br /> Compositor Setup Date:_/ /_ Time:_/_ c z p o" " z O z <br /> v, E � cam. gz u A 0— <br /> Lab Number: STK I 3-17919 o w a T U a a o <br /> 0 0 � F <br /> Samp Date Time Q '¢ =of e o b <br /> Location Description > M M <br /> Num Sampled Sampled Fq pq O U-� C7 n = — <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> , <br /> Received By: Date: Time: Received B): Date: Time: Received By: Date: 'Dime: <br /> 'n <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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