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WP0036523
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EMERSON
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3927
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036523
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Entry Properties
Last modified
1/8/2019 9:39:07 AM
Creation date
1/8/2019 9:04:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036523
PE
4378
STREET_NUMBER
3927
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514517
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
3927 E EMERSON 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 /> . , Special www.fgline.eom <br /> Analytical Chemists <br /> {. I: It <br /> Customer Cody (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative Sampling information <br /> Client: San Joaquin County EHD < <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada d 2 <br /> Project Name: � �} � ( �)'•i f' 1.<b: �I� • ��a rn � rn � <br /> Purchase Order Number: Y j w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) <br /> [W34 a1 5 °° a <br /> �.. N a0 <br /> 6b 0 <br /> Sampling Fee: Pickup Fee: c o eq c <br /> Compositor Setup Date:_/_/ Time:_/_ E a z p 124 ai ,'z O <br /> Lab Number: STK 3-17919 0 (n <br /> d 0 F P40 H II a a <br /> Samp Date Time Q 'i; °' o o ^x ° <br /> Num Location Description Sampled Sampled °' 75 <br /> '' O `" c° ' <br /> P p F- a M as O v — 0 <br /> 1 ?0 G D'A' <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rece2�ed By: Date: Time: Received By: Date: Time: Received 13}: Datc: -1-1111e: <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)73$-8435 <br />
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