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WP0038032
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038032
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Entry Properties
Last modified
4/12/2019 2:41:13 PM
Creation date
9/27/2018 8:29:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038032
PE
4366
STREET_NUMBER
30956
Direction
E
STREET_NAME
GROOMS
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20728014
ENTERED_DATE
3/9/2018 12:00:00 AM
SITE_LOCATION
30956 E GROOMS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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-= CHMN OF CUSTODY <br /> 5 tial www.fgUnc.com <br /> ENVIRONMENTAU�AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIP'1TON - ,See Reverse m&;lor Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: S �_ <br /> a <br /> Contact Person: Rodney Estrada A <br /> y � a <br /> Project Name: O r vn <br /> Purchase Order Number: �Q�- �' V W u� <br /> Quote Number: ST 20160309-01 <br /> c W A: V oho A <br /> Sampler(s) E4 a x <br /> 00 0 •C�. Q cn <br /> O <br /> Sampling Fee: _ Pickup Fee: 5 a" ; o R c� <br /> Compositor Setup Date:_/_/ Time:_!_ a z p a �'z a O d ro <br /> o <br /> 0 ii cd9z is. <br /> Lab Number: STK 3-17919 .o J x H x x <br /> ry ?= > a,� C4 �a FII a o <br /> amp Location Description Darr Time ,, a o R o <br /> Num Sampled Sampled a Aa CAO U O N <br /> 1 G DW 1 11,1 <br /> Remarks: 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 /> 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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