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WP0040046
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040046
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Entry Properties
Last modified
3/24/2020 1:38:59 PM
Creation date
3/24/2020 1:32:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040046
PE
4378
STREET_NUMBER
9126
Direction
W
STREET_NAME
LORRAINE
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
24806021
ENTERED_DATE
9/5/2019 12:00:00 AM
SITE_LOCATION
9126 W LORRAINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> EN)�IRONMENTAL <br /> _- AGRICULTURAL Special www.fgUnc.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 .i <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 @ <br /> c. <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3 <br /> Contact Person: Rodney Estrada <br /> 7 a <br /> Project Name: �,�. I Q(re-o p, � p, ^ 'n <br /> Purchase Order Number: ITO( t t,+ U` <br /> w <br /> Quote Number: ST 20160309-01 <br /> N <br /> O E- <br /> a °° Ca <br /> Sampler(s) o vwi z <br /> lY G t A K1�t . v a a O <br /> Sampling Fee: Pickup Fee: c a o a aF <br /> °O °Z °�' E <br /> Compositor Setup Dale: /_/_ Time: / z p :o z c z w Q <br /> x <br /> Lab Number: STK 3-17919 b w i a M �a a a a <br /> o <br /> Samp Date Time _ o x 4 o N c N o v <br /> Num Location Description Sam led Sampled P P F- a m w 0 U <br /> 1 G DW 1 <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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