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SR0077731
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077731
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Entry Properties
Last modified
3/13/2020 9:03:11 PM
Creation date
3/13/2020 4:55:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077731
PE
4366
STREET_NUMBER
28087
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
25105006
ENTERED_DATE
6/14/2017 12:00:00 AM
SITE_LOCATION
28087 S LAMMERS RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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== CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURALSpecial www.fglinc.com <br /> Analytical Chemists 1 ield Copy (3 of 3) <br /> 35730:02/06/_. 17 TEST DESCRIPTION - See Reverse side for Containe .Pre.ervative and Sampling information <br /> Cliet: San Joaquin County EHD <br /> AdTss: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3' a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: C7 rwi, rn0 , <br /> Purchase Order Number: x 3 a — <br /> eq Lcl <br /> Quote Number: ST 20160309-01 0 ¢ a <br /> Samplers) U� Z BOG^ a0 <br /> 1 * c! v� . <br /> a <br /> Sampling Fee: Pickup Fee: c O o @ O <br /> a o -9 04U � � roO b� <br /> Compositor Setup Date:_/_/_ Time:_/_ z O d o z c z w Ca H <br /> 0 <br /> Lab Number: STK 3-17919 0 cn iia. .. U x v <br /> o. M. <br /> Samp Location Description Date Time ; c o N v o w a <br /> Num Sampled Sampled ( a co M O U-� C7 c� is.= v -- <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 /> I <br />
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