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SR0077132
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077132
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Entry Properties
Last modified
10/22/2019 2:35:32 PM
Creation date
12/5/2017 7:37:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077132
PE
4378
STREET_NUMBER
15681
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20804017
ENTERED_DATE
4/4/2017 12:00:00 AM
SITE_LOCATION
15681 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\A\AUSTIN\15681\SR0077132.PDF
QuestysFileName
SR0077132
QuestysRecordID
3364496
QuestysRecordType
12
Tags
EHD - Public
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CIHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL (Bial www.fglinc.com <br /> Customer Copy (2 ( f 3 <br /> IIIIIIIII I�����IIVIIIIIIII��[f[f� 3;730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling in. �rmation <br /> LIWIJIII1LllLli i, .t <br /> Client: San Joaquin Count;EHD <br /> Address: San Joaquin Co. En,�'xonmental Health Dep ! <br /> Water Quality Division 3 a rl <br /> Attn: Rodney E•strad;, v � !!! <br /> 1868 East Hazefton 4,ve. <br /> Stockton,CA 95205 3 0 <br /> 2 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ¢ 2 aF. <br /> Project Name: c7 <br /> � x <br /> Purchase Order Number: U w n w <br /> Quote Number: ST 20160309-01 o w ¢ }z a <br /> a w a y o F- <br /> Sampler(s) o z T 00 Q <br /> ca ¢O w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time:_/ E z p c c z c w M F- <br /> Lab Number: STK 3-17919 <br /> Samp Date Time == c [o <br /> Location Description y xn <br /> — <br /> NSampled Sampled ' G �w <br /> G DW l Ll,l <br /> Remarks: Relinquished Date: Time: Relinquished Daic: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Dat,:: -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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