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WP0037627
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037627
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Entry Properties
Last modified
9/29/2018 7:50:47 PM
Creation date
6/28/2018 9:27:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037627
PE
4378
STREET_NUMBER
8484
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08903025
ENTERED_DATE
11/21/2017 12:00:00 AM
SITE_LOCATION
8484 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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CHAiri OF CUSTODY <br /> ENVIRONMENTAL - Special www.fglfneXOM <br /> k <br /> Analytical ChemistsCustomer Cop% (? 41) <br /> 11111111111 Lill 11111111111111111135730:02/06/2017 '1LS'l DLSCRiP110N See Re\e e side for Container, Preservative and Sampling uttormntion ed <br /> Client: San Joaquin County EHDr` <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> d <br /> Phone: (209)468-0331 Fax: w a: <br /> Contact Person:,rRpdn�y Estrada A Q <br /> Project Name: V -� w ° <br /> Cd <br /> Purchase Order Number: G ¢ � a a w5 <br /> Quote Number: ST 20160309-01 N N <br /> P O00 <br /> F <br /> S�Tpler(s) o z U A <br /> U 2 rn ? Oa <br /> 5a 4-0 � w <br /> Sampling Fee: Pickup Fee: G rz o G o f <br /> Compositor Setup Date:_/ / Time: 1_ E n z O z O E <br /> d 0. o Gz <br /> Lab Number: STK 3-17919 0 ii a U x N x x <br /> 0 °? H � <br /> 0 � a Ma H II o a <br /> SDate Time N am . =- <br /> Locationkation Description ° o <br /> Num Sampled Sampled <br /> M W O U 0 eq <br /> G DW <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recckcd By: Date: Time: Received By: Date: "rime: 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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