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WP0036857
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036857
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Entry Properties
Last modified
12/27/2018 11:41:05 AM
Creation date
12/27/2018 10:28:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036857
PE
4366
STREET_NUMBER
22400
Direction
E
STREET_NAME
NAVARRO
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
09303070
ENTERED_DATE
7/18/2017 12:00:00 AM
SITE_LOCATION
22400 E NAVARRO CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ss CI MN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUne.eom <br /> Analytical ChemistsE Customer Copy �I. of 3) <br /> 11111111111111111111 WHO 9 <br /> 35730:02/06/2017 —F.FS3r•DESCRIPTION See Reverse side for Container, Pre rvative and S4 pling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada p; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 —° <br /> eu <br /> Phone: (209)468-0331 Fax: <br /> � � a <br /> C7 Q on v <br /> Contact Person: Rodney Estrada ¢ a <br /> W y x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 W ¢ v' �_ a <br /> a W a N F x <br /> Sampler(s) o cn Z 00 O <br /> 2 v)M 14 <br /> c o W <br /> a a c� H <br /> Sampling Fee: Pickup Fee: — c � o xb �N <br /> _ ° „ O E <br /> Compositor Setup Date: / / Time: / E z p °' ° Z <br /> - z vz <br /> vn E o V) c ii Q F� <br /> Lab Number: STK 3-17919 0 w n b U x <br /> c, =o <br /> p <br /> Samp Location Descri tion Date Time fl o o v x <br /> Num Sampled Sampled E �� m m O U f4 C7 N l r,- <br /> 1 G DW <br /> Remarks: Relinqui.hed Date: "Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8,Laboratory Office 8,Laboratory Office 8 Laboratory Office 8,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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