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WP0038756
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038756
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Entry Properties
Last modified
4/11/2019 9:16:16 AM
Creation date
11/7/2018 8:21:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038756
PE
4378
STREET_NUMBER
52
Direction
N
STREET_NAME
PATTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
103100300
ENTERED_DATE
9/10/2018 12:00:00 AM
SITE_LOCATION
52 N PATTON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CI MN OF CUSTODY <br /> FMAGRICULTURAL Special www.fgUnc.com <br /> F <br /> Analytical Chemists ,i <br /> (C <br /> Cusl Amer Copy (2 of 3) <br /> l 35730:02/0( 2017 TEST DESCRIPTION - See Reverse side for Container, I -,servative and Sampling information <br /> C'1nt: San Joaquin County EHD <br /> F ress: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada A <br /> Project Name: lu <br /> Purchase Order Number: e .��` �? w 3 v lu uS <br /> Quote Number: ST 20160309-01 ¢ <br /> W R. v F 000 F <br /> Sampler(s) 0 C z T O A <br /> 0 w <br /> Sampling Fee: Pickup Fee: .g a F <br /> Na <br /> a_i ( ate' <br /> Compositor Setup Date: / / Time: / b = z O U z ; O <br /> o(n o cz w A EF <br /> Lab Number: STK 3-17919 0 % ii a c Vq M x x x <br /> o c F� a0 oQ � a F II a a <br /> Samp Date Time sa ; =o <br /> Num Location Description Sampled led Sam <br /> P <br /> i G Dye' 1 1.1,1 <br /> Remarks: 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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