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WP0038224
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038224
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Entry Properties
Last modified
4/12/2019 2:50:32 PM
Creation date
11/7/2018 8:19:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038224
PE
4366
STREET_NUMBER
17508
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06510008
ENTERED_DATE
5/8/2018 12:00:00 AM
SITE_LOCATION
17508 E FRAZIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County MID <br /> Address: San Joaquin Co.-Environmental Health Dep <br /> Water Quality Division 3 a <br /> Atm:Rodney Estrada U; <br /> 1868 East Hazelton Ave. 3IU <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada <br /> Project Name: ,7 „ b v <br /> Z� Cn <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a ¢ � �_ <br /> A. L=7 G. v Er 0 F <br /> Samplers o z T C) Q <br /> �7t•! c> " v, a a O <br /> M °o W <br /> ou p, '� o.� x F- <br /> Sampling Fee: Pickup Fee: 5 „ o b Cn a <br /> bz g' <br /> Compositor Setup Date: / / Time: / E a z O _ Z „ -" <br /> c <br /> E o c <br /> z <br /> o t? Q E- <br /> Lab Number: STK 3-179190 a a E a a ti o 0 <br /> Samp Date Time 93 n ; �' o G o x <br /> Num Location Description Sam led Sampled " CL <br /> P I 2 a co O U U c4 s = w <br /> G DW 1 I.LI / <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received BN: Date: Time: Received By: Dare: 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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