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WP0036917
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036917
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Entry Properties
Last modified
9/30/2018 12:05:00 AM
Creation date
6/27/2018 2:42:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036917
PE
4378
STREET_NUMBER
5323
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
17904053
ENTERED_DATE
7/26/2017 12:00:00 AM
SITE_LOCATION
5323 E CARPENTER RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CHMN OF CUSTODY <br /> tt)M-RONMENTAL FGL AGRICULTURAL Special www.fgunc.com <br /> Analytical Chenlists <br /> i <br /> Field Copy 0 Of 3) <br /> �. 35730:02/06/2017 1 LSI DLSC RIPCI(JA'4 See Reverse side tier CuntatneI Pre,enLit I e and Sampling mhorIla(on <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division i <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney EstradaLn <br /> O d <br /> Project Name: <br /> 1 <br /> Purchase Order Number: U w <br /> Quote Number: ST 20160309-01 <br /> v E00 <br /> o F <br /> Sampler(s) E w z O A <br /> C O O n ¢ O o W <br /> Sampling Fee: Pickup Fee: _ a a cv x F <br /> Compositor Setup Date: /_/ Time: / c a z O y '—' ° i O Z z E <br /> V) E ori oZ cz w Q E— <br /> Lab Number: STI{ 3-17919 0 5 o a U x v <br /> ti_ x x <br /> a 0 F F II a a <br /> Sam I p Date Time -S " E °' E <br /> Location Description v a o o a a <br /> Num Sampled Sampled a w w O U= C7 Z.P w <br /> I G DW 1 1.1.1 <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Timc: <br /> Received BN: Date: I ime: 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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