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WP0038053
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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13801
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038053
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Entry Properties
Last modified
1/23/2019 9:45:25 AM
Creation date
7/24/2018 2:03:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038053
PE
4370
STREET_NUMBER
13801
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06507032
ENTERED_DATE
3/16/2018 12:00:00 AM
SITE_LOCATION
13801 E EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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:_ CHAIN OF CUSTODY <br /> R - - Special www.fgUnc.com <br /> AGRICULTURAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division ,:a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br />` Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A <br /> L a <br /> Project Name: i <br /> Purchase Order Number: U w 3 54 a —' <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) `E w 0 a A <br /> S as M o x <br /> ca Q <br /> Sampling Fee: Pickup Fee: C c CA � M n <br /> Compositor Setup Date: / / Time: / E c z p = O z E <br /> z0 Cd <br /> --- -- 0 E o vai o Z C w A F <br /> Lab Number: STK 3-17919 0 c% a o U ca x x x <br /> 0 o <br /> Sam l i Date Time <br /> Location Description a nT o o <br /> Num Sampled Sampled F C. cn f�O V <br /> 1 G DW <br /> Rcntarl:�: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: 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 /> 4.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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