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SR0077132
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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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CHAm OF CUSTODY <br /> FMIRONMENTAL . , Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> +;73 :02/06;2017 TEST DESCRIPTION - See Reverse side for COnta'!ier, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental I lealth Dep <br /> Water Quality Division I 3 <br /> Attn: Rodney Estrada v x <br /> 1868 East Hazelton Ave. y <br /> ;p J <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person: Rodney Estrada <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E oV 00 <br /> F <br /> Sampler(s) E z O Q <br /> x <br /> Sampling Fee: Pickup Fee: SU <br /> C N M y <br /> Compositor Setup Date: / / Time: / E z O v =Z O a��i Z a E <br /> v: E cv=i o __ z L. Q E- <br /> 0 <br /> e v n U C <br /> Lab Number: STK 3-17919 `o Cnci a o m x x <br /> >, 4 E a ? H II <br /> v <br /> Samp Location Description Date Time � V b O o N v 0 D o <br /> Num Sampled Sampled r <br /> 1 G DW <br /> Remark.: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Dat,: 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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