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WP0038670
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038670
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Entry Properties
Last modified
12/27/2018 8:11:31 AM
Creation date
11/7/2018 8:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038670
PE
4366
STREET_NUMBER
2997
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10129052
ENTERED_DATE
8/16/2018 12:00:00 AM
SITE_LOCATION
2997 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists t Customer Copy (2 of 3) <br /> d 4 <br /> 35710:02/06/2017 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 a <br /> Atm:Rodney Estrada ° <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 =9 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A <br /> Project Name: y r,°° cc <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) U zO ii A <br /> w N O <br /> o O •G ti Q MO `$ W <br /> Sampling Fee: Pickup Fee: E o a a <br /> lu <br /> Compositor Setup Date:_/_/_ Time:_/_ z p ^�z z E <br /> 0 S u A F- <br /> Lab Number: STK 3-17919 o w ii U a x a a <br /> c O d F. p;O =oG.N. 2 <br /> Time Date <br /> Location Description °c'c <br /> Sampled Sampled ' tl O ONuF. a m W <br /> °°J <br /> V C7 cv ti _: u ii <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> . '�51 <br /> �� Recencd [3�: Date: 'Dime: Received By: Date: Hine: 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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