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WP0039585
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039585
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Entry Properties
Last modified
2/25/2020 1:03:07 PM
Creation date
5/24/2019 4:02:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039585
PE
4370
STREET_NUMBER
8891
Direction
W
STREET_NAME
PALMQUIST
STREET_TYPE
AVE
City
TRACY
Zip
95304-
APN
24807024
ENTERED_DATE
5/6/2019 12:00:00 AM
SITE_LOCATION
8891 W PALMQUIST AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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Y <br /> -_-= CHAIN OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTUKAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 e TEST DESCRIPTION - See Reverse side for Container,Preservative and Sa;npling information <br /> Client: San JoagVn County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 n <br /> Phone: (209)468-0331 Fax: W <br /> Contact Person: Rodney Estra ta - - A <br /> 1\ 'a x <br /> Project Name: <br /> Purchase Order Number: t ,o <br /> Quote Number: ST 20160309-0100 <br /> Sampler(s) \ U C4 z T O A <br /> * a rn a N tf~ <br /> o p 5a d0GO �o W <br /> Sampling Fee: Pickup Fee: <br /> Q = O � <br /> P4'� v ctl <br /> Compositor Setup Date:_/_/ Time:_!_ E �, z O e z „ °-- <br /> v, E z <br /> o� c� gu A H <br /> Lab Number: STK 3-17919 0 a a U x N x x <br /> � a a <br /> Samp Date Time " 0 oo o <br /> Location Description <br /> Num Sampled Sampled 2 P. o� 4 O <br /> U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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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