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WP0040423
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040423
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Entry Properties
Last modified
3/16/2020 9:11:28 PM
Creation date
3/16/2020 4:25:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040423
PE
4380
STREET_NUMBER
3360
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25502072
ENTERED_DATE
12/23/2019 12:00:00 AM
SITE_LOCATION
3360 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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14 <br /> FGL CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fgUnc.com <br /> Analytical Chernists Field Copy (3 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 3 a <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada d S a <br /> Project Name: V) <br /> Purchase Order Number: U w W <br /> Quote Number: ST 20160309-01 Q <br /> ELLJ 00 <br /> o E� <br /> Sampler(s) 5 w z O O <br /> * �; a O <br /> * x <br /> o <br /> Sampling Fee: Pickup Fee: c A o= a aF <br /> c o � <br /> Compositor Setup Date: / / Time: / E o z p �'z O z E <br /> -- o o G <br /> z <br /> Lab Number: STK 3-17919 0 U <br /> E c, <br /> 0 0 <br /> Samp Location Description Date Time v a o oo CDn fl —' D <br /> Num Sampled Sampled P P a a: ai 0 U-- C7 cv <br /> I G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Timc: <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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