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WP0037765
EnvironmentalHealth
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120 (STATE ROUTE 120)
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037765
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Entry Properties
Last modified
11/19/2024 4:01:48 PM
Creation date
9/27/2018 8:37:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037765
PE
4366
STREET_NUMBER
12999
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
Zip
95336-
APN
20817024
ENTERED_DATE
1/3/2018 12:00:00 AM
SITE_LOCATION
12999 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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p <br /> ` CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 3) <br /> 11111 q3•i tr ,i <br /> i•; i11 3:130:02.06 017 l i.: Ul.�t RIPTIU\' See Re\er>e',idr lur C wuemci. <br /> Client: San €%aquin Cd-tatN EHD <br /> Address: San Jeyaquin Co. nvironmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> c7 w 3 V _ <br /> Contact Person: Rodney Estrada �, Q <br /> Project Name: V) , <br /> Purchase Order Number: U w 3 w <br /> Quote Number: ST 20160309-01 d <br /> E o00 <br /> F <br /> Sampler(s) Ez Ca <br /> W <br /> Sampling Fee: Pickup Fee: F- <br /> �' <br /> Compositor Setup Date: /_/ Time: / E z Oa s o z w Q EE <br /> o <br /> _ <br /> Lab Number: STK 3-17919 0 C% ii <br /> o v > vp Ea La E- II a a <br /> 0 o H CYC o— <br /> Samp Date Time b lu `✓ E " E b b <br /> Location Description a U rot o oC a°i v n v <br /> Num Sampled Sampled F M W O U -- C7" w = — fi <br /> G D\N <br /> Remark: 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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