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WP0038153
EnvironmentalHealth
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KENNEFICK
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038153
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Entry Properties
Last modified
12/27/2021 3:42:34 PM
Creation date
9/27/2018 8:30:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038153
PE
4370
STREET_NUMBER
21706
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01715043
ENTERED_DATE
4/17/2018 12:00:00 AM
SITE_LOCATION
21706 N KENNEFICK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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4 <br /> - -_ CHAIN OF CUSTODY <br /> E'VL TAL AGRICULTURAL Special - www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,)?reservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Atm:Rodney Estrada A; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: � w � co <br /> GG <br /> Contact Person: Rodney Estrada j A d <br /> Project Name: (� D 6 ti, I< nil e y; rc O `" Cd `n <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N N <br /> o00 <br /> H <br /> Sampler(s) 0 C � 00 a A <br /> I <br /> ` O <br /> C-0 1 Iv!+ 0 * Zi <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time:—/— E fl z p = O <br /> z „z <br /> ---- E o� o ❑ pyo A E <br /> Lab Number: STK 3-17919 0 L% ii a. M U m x x x <br /> c 0 Z F o06 � 24 H II a a <br /> Samp Date Time �s ; 'Z o O c a v <br /> Location Description cc Cd N <br /> Num Sampled Sampled ° G oOU <br /> ?� <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> t^ 1 t)si og114hi <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Zor[)orate Offices&Labor to 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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