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WP0037425
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037425
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Entry Properties
Last modified
12/27/2018 12:01:38 PM
Creation date
12/27/2018 10:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037425
PE
4366
STREET_NUMBER
24501
Direction
N
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104520
ENTERED_DATE
10/16/2017 12:00:00 AM
SITE_LOCATION
24501 N FUHRMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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- — CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUMLSpecial www.f{glineXOM <br /> Analytical Chemists 1 Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DE 'RIPTION - See Reverse side for Container,Preservative and Sampling info , tion <br /> Client: San Joaquin County E D ' <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 PS <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada i <br /> Project Name: w ° <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> aE <br /> ° A <br /> W a o0 <br /> Sampler(s) l U * a0 <br /> O <br /> 0 a QM <br /> Sampling Fee: Pickup Fee: c ° O a 0 <br /> a c <br /> Compositor Setup Date: /_/_ Time:_/_ E a z p w o ^�z O E <br /> o o z <br /> Lab Number: STK 3-17919 0 a a U x N x x <br /> d c °? f~ 04tea' F II a c <br /> Samp Date Time 6 '� N = <br /> Location Description � 0 <br /> Num Sampled Sampled O'A " a <br /> 1 G DW <br /> ]Zem,i, 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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