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WP0040555
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040555
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Entry Properties
Last modified
5/28/2020 3:17:43 PM
Creation date
5/28/2020 3:06:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040555
PE
4366
STREET_NUMBER
4347
Direction
W
STREET_NAME
CALIFORNIA
STREET_TYPE
AVE
City
TRACY
Zip
95376-
APN
21318052
ENTERED_DATE
2/21/2020 12:00:00 AM
SITE_LOCATION
4347 W CALIFORNIA AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> . -` Special www.fgUnc.com <br /> OVI . , <br /> Analytical Chemists <br /> 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 3 a <br /> Attn: Rodney Estrada cG <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> C7 w 3 <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: v w w <br /> Quote Number: ST 20160309-010 00 <br /> Sampler(s) U w z 5 O A <br /> 0, e- O <br /> Sampling Fee: Pickup Fee: E <br /> Compositor Setup Date: / / Time: / E a, z pa z O z E <br /> z <br /> O <br /> Lab Number: STK 3-17919 0 CA ii M. v M x N <br /> 0 o a, H tx� oa �a F II a a <br /> Samp Date Time ; o c o :2 x ° a <br /> Location Description pled . w O UNum Sampled Sam ° '�. <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 />
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