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WP0038153
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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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CHAin OF CUSTODY <br /> ENV!RONMENTAL AGRICULTURAL Special y www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> i <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative d 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 c <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada 00 <br /> A d <br /> 4n <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o H <br /> Sampler(s) U w z 2 00 <br /> 0 A <br /> * ?: a P= O <br /> * o <br /> W <br /> Sampling Fee': Pickup Fee: <br /> Compositor Setup Date: / / Time: / E o z OE O Z <br /> --- E o� oZ [z u A H <br /> Lab Number: STK 3-17919 0 <br /> o <br /> Samp Date Time �, '� o o ❑r x <br /> Locatimm Description o o a <br /> Num Sampled Sampled F a GC CC O U'- 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished <br /> Rceei�r� R�: Date: 'Dime: Received By: Date: Time: Received By: Date: Time: <br /> c i <br /> �kgrporate Offices&LaboratoEy Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> S@nta 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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