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WP0038096
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038096
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Entry Properties
Last modified
8/1/2019 1:14:29 PM
Creation date
9/27/2018 8:30:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038096
PE
4366
STREET_NUMBER
11200
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00713027
ENTERED_DATE
3/27/2018 12:00:00 AM
SITE_LOCATION
11200 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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E-__ CHAIlY OF CUSTODY <br /> -ENVIRONMENTAL — AGRICULTURAL Special www.fglinc.com <br /> 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 Count} EHD t, <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> v w 3 <br /> Contact Person: Rodney Estrada <br /> Project Name: U vo, <br /> Purchase Order Number: U w on W <br /> Quote Number: ST 20160309-01 x ¢ x N <br /> N E o !-- <br /> Sampler(s) G z Ca <br /> o v> <br /> U <br /> x " x <br /> 0 =a ¢o <br /> Sampling Fee: Pickup Fee: <br /> N M <br /> Compositor Setup Date: / / Time: 1 E a z p a z y 0 z E <br /> c o =Z <br /> 0 <br /> Lab Number: STK 3-17919 0 a a U x = x x <br /> Samp Date Time En ', `� of '-'of z <br /> Num Location Description Sam led Sampled °n O U Un <br /> _: i Z <br /> l G DW <br /> Remarks: Relinquished Date: Time: Relinqui,hed Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: Received By: Date: I imc: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laborato[y 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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