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WP0038686
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038686
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Entry Properties
Last modified
6/12/2019 4:26:12 PM
Creation date
6/12/2019 3:26:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038686
PE
4370
STREET_NUMBER
5290
STREET_NAME
F
STREET_TYPE
ST
City
TRACY
Zip
95304-
APN
25006015
ENTERED_DATE
8/21/2018 12:00:00 AM
SITE_LOCATION
5290 F ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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CHMN OF CUSTODY <br /> RAL Spe al wwL .fglinc.com <br /> Analytical Chemists Field Copy (3 of 3 _; <br /> 35730:02/06/2017 TEST D 4 CRIPTION - See Reverse side for Container, Preservative and Sampling infokenation <br /> Client: San Joaquin County)r, D <br /> Address: San Joaquin Co.Envimental Health Dep ' <br /> Water Quality Divisioai a <br /> Attn:Rodney Estrada i <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A <br /> C7 w y o a: <br /> Project Name: _ r h <br /> Purchase Order Number: U w yr aAi W <br /> Quote Number: ST 20160309-01 o C4 <br /> 6 o F <br /> oo <br /> Sampler(s) U 0 <br /> x <br /> � <br /> ON <br /> w <br /> Sampling Fee: Pickup Fee: 5 K ; o�, p" i a� <br /> Compositor Setup Date:_/_/_ Time:_I_ rn z O o z z u. A E= <br /> x_ <br /> Lab Number: STK 3-17919 0 & a a a V x x <br /> 0 0 F aha �a F II c� a <br /> Samp Date Time Q °' =c c c <br /> Num Location Description Sampled Sampled " ' ° d <br /> P P � H a W PQ U <br /> 1 G DW <br /> Remarks: Relinquished.l Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> i <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 /> Sarfta 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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