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WP0036988
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036988
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Entry Properties
Last modified
11/20/2024 9:09:41 AM
Creation date
7/24/2018 10:19:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036988
PE
4366
STREET_NUMBER
29876
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230-
APN
187430020
ENTERED_DATE
8/3/2017 12:00:00 AM
SITE_LOCATION
29876 E HIGHWAY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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G� CHMN OF CUSTODY <br /> ENVIRONMENTAL RASpecial www.fgUnc.com <br /> Analytical Chernistsa Customer Cay (2 of 3) <br /> 6 <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,PreservatiSampling information <br /> Client: San Jtiaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada ° <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 w I _ <br /> Contact Person: Rodney Estrada A <br /> Project Name: g <br /> x 3 a <br /> Purchase Order Number: <br /> ui <br /> Quote Number: ST 20160309-01 <br /> °° A <br /> S {tpler(j) \�:0 V vwi z <br /> o. O EW <br /> Sampling Fee: Pickup Fee: F ; o <br /> G O <br /> Compositor Setup Date:_/_/_ Time:_/ E z O a =z O E <br /> v� E o o g z <br /> Lab Number: STK 3-17919 0 a a U a x c a <br /> 0 <br /> Sam Dale Time <br /> V .O . 4, <br /> p Location Description N a o -5 00 <br /> Num S;miple�l Sampled � �, p., � pa <br /> G DW 1 1J'1 r <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> � hL() <br /> Recek ed By: Dace: 'Time: Received By: Date: Time: Received By: Daie: 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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