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WP0038611
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038611
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Entry Properties
Last modified
12/27/2021 3:35:15 PM
Creation date
11/7/2018 8:20:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038611
PE
4378
STREET_NUMBER
1057
Direction
W
STREET_NAME
PALOMA
STREET_TYPE
AVE
City
STOCKTON
Zip
95209-
APN
07520010
ENTERED_DATE
7/26/2018 12:00:00 AM
SITE_LOCATION
1057 W PALOMA AVE
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> - Special www.fgUnc.com <br /> Analytical Chemists <br /> CustomerCopy (2 of 3) <br /> 35730:02/06/2017 _�` TEST DESCRIPTION - See 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 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> o, <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada ¢ aF <br /> Project Name: W„ b <br /> Purchase Order Number: 3 a w <br /> w e. a <br /> Quote Number: ST 20160309-01 N <br /> E o00 <br /> E- <br /> Sampler(s) o �w z > O Q <br /> U <br /> Sampling Fee: Pickup Fee: <br /> o. p rte. N �, �'z v <br /> Compositor Setup Date: / /_ Time: / E n z O = z �O y z E <br /> E �i� o Ez s Q F= <br /> o <br /> Lab Number: STK 3-17919 0 � a a U x x <br /> oaa Ey- II a fl <br /> Samp Date Time a ro '� = o x <br /> Location Description Sam " ' o <br /> Num led Sampled <br /> P P F a m mO v CDrq <br /> 1 G Dom' 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Reccked By: Datc: 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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