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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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EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AORICULTURAL Special www.fgUnc.com <br /> Analytical Chcnii5ts <br /> Field Copy (3 of 3) <br /> e - <br /> 35W30:02/06/2017 TEST DESCRIPTION See,Reversr"side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EI1D <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 1 <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 d <br /> v <br /> Phone: (209)468-0331 Fax: <br /> w 3 - _ <br /> Contact Person: Rodney Estrada Q ¢ g y <br /> Project Name: <br /> J C7 � b rn <br /> Purchase Order Number: CJ w a <br /> Quote Number: ST 20160309-01 0 ¢ x a <br /> a E <br /> Sampler(s) o vWi z > O o <br /> Sampling Fee: Pickup Fee: F- <br /> G y .y+ N <br /> Compositor Setup Date: / Time: / E n z p y O y . , E <br /> oz Gx w ca ~ <br /> Lab Number: STK 3-17919 o a ' E a a a o <br /> oma— <br /> Samp Location Description Date Time G g o o n ti <br /> Num Sampled Sampled F m m O U= C7 N _ L. <br /> t G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 13�: Date: I'inte: Received Ry: Date: Tina: 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 /> Whone: (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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