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WP0036989
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036989
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Entry Properties
Last modified
9/6/2019 2:52:24 PM
Creation date
10/1/2018 8:20:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036989
PE
4366
STREET_NUMBER
20120
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
18322001
ENTERED_DATE
8/3/2017 12:00:00 AM
SITE_LOCATION
20120 E COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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- =_ CHMN OF CUSTODY <br /> LNVIRONMENTAL AGRICULTURAL Special { www.fgUnc.eonk <br /> Analytical Chemists Field Copy (3 of 3) a <br /> 35730-0.2/06/2017 TEST DESCRIPTION - S"°Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada - A <br /> Project Name: i }` y <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o a Q `" <br /> 600 <br /> o F� <br /> Samplers) U 0 0 a O <br /> rJ _ * O <br /> a ¢`' 0 x <br /> a <br /> Sampling Fee: Pickup Fee: K O O x <br /> Compositor Setup Date: / / Time: / E a z° O x ,�, = O z <br /> --- 8 cvoi oZ 8Z <br /> Lab Nlmtber: STK 3-17919 0 a V x N x x <br /> 0 0 � H 04 O € <br /> S <br /> Samp Date Time a = <br /> Location Description u O o tin v v <br /> Num Sampled Sampled F. a M M O U - <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinqui,hcd Date: Time: <br /> Received Bv: Date: Time: Received By: Dale: Time: Received By: Date: lime: <br /> • <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 85J 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:(5M 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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