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WP0039655
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039655
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Entry Properties
Last modified
6/10/2019 4:32:04 PM
Creation date
6/10/2019 4:07:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039655
PE
4378
STREET_NUMBER
31154
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25504028
ENTERED_DATE
5/24/2019 12:00:00 AM
SITE_LOCATION
31154 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL --AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists 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 <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: <br /> Purchase Order Number: Z L� U W h <br /> Quote Number: ST 20160309-01 N a ¢ `O <br /> Sampler(s) o vw, z i 0 A <br /> v <br /> Sampling Fee: Pickup Fee: Ei - a <br /> Q c <br /> Compositor Setup Date:_/_/ Time:_/_ E a, z O Q ='z 0 O �—, w 9 <br /> rn E °o c z is A E <br /> Lab Number: STIP 3-17919 0 <br /> 0 o u? <br /> amp Date Time G p, 5 '� o a o ,7," <br /> Location Description > o o N „ 2 0 <br /> Num Sampled Sampled E a rA a0 O U C7 cq u _: iw u, <br /> G DW <br /> Remarks: Relinquished,.)\J t\�� Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> t <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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