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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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= CHAIN OF CUSTODY <br /> -AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> lli�lf iIIII�II�IIII�i�II��I�lllJ'lll �llll��l 35730:02!06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> z <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 tt <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> v <br /> Phone: (209)468-0331 Fax: C' <br /> Contact Person: Rodney Estrada Q ¢ <br /> C7 a <br /> Project Name: W ? oE„ V <br /> (Purchase Order Number: U w 6 u5 <br /> Quote Number: ST 20160309-01 <br /> E00 <br /> o F- <br /> Sampler(s) E w Z T O Q <br /> Sampling Fee: Pickup Fee: <br /> da4N M Z N I <br /> Compositor Setup Date: / / Time: / E z O = o Z Oz w 5 Q E <br /> o z <br /> Lab Number: STI{ 3-17919 0 w iE <br /> Samp Location Description Date Time r o _ 5 N v v <br /> Num Sampled Sampled F R, n <br /> 1 G DW <br /> 'Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> I <br /> Received By: Date: Time: Received By: Date: Tinne: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratonl 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 9596 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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