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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 /> MO -- - Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII 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 /> Atm: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> tj w 3 � _ <br /> Contact Person: Rodney Estrada ro A Q E <br /> � x <br /> Project Name: @ v: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N a ¢ ' 00 <br /> a <br /> Sampler(s) Ez 0) A <br /> U = <br /> ca ¢` 0 x <br /> Sampling Fee: Pickup Fee: c P <br /> N M y <br /> Compositor Setup Date: / /_ Time:_/ E z O fl = z O z E <br /> Cn E Nv: o � cz <br /> Lab Number: STK 3-17919 0 w a a '1'O a a v a Q <br /> Samp Location Description Date Time Q o � o N U a <br /> Num Sampled Sampled <br /> I 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 />
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