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WP0037031
EnvironmentalHealth
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JACK TONE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037031
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Entry Properties
Last modified
1/9/2019 12:14:06 PM
Creation date
1/9/2019 10:31:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037031
PE
4378
STREET_NUMBER
25200
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104114
ENTERED_DATE
8/7/2017 12:00:00 AM
SITE_LOCATION
25200 N JACK TONE 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.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 3) <br /> Client: San Joaquin County Eli') <br /> Address: San Joaquin Co. Enviroi;,-,iental Heafth Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Quote Number: S-r 20160309-01 -N <br /> Sampling Fee: Pickup Fee: k 5 C14 <br /> Compositor Setup Date: Time: z 0 :� 0 E <br /> Lab Number: STK 3-17919 0 W 5� co <br /> 4. <br /> Location Description C) A 0 .0 <br /> G DW <br /> Remarks: Relinquished Dme: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> RcL:cked By: Date: Time: Received By: Dale: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&LaborgtoF)t <br /> 858 Corporation Street 2500 Stagecoach Road 563E. unuo 3442 Ernpresa Drive,Suite 941nvxGoshen Avenue <br /> SafftPaula,CA93OOO Stockton,CA85u15 Chico,CA959us San Luis Obispo,CAon4O1 Visalia,CAo3xo1 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Ph (530)343'5818 Phone: (805)783-2840 phrn <br /> Env Fax: (oU5)525-417z/AgFax: (oon)ny2'cos3 Fax: (u09)y4u'0423 Fax: (53O)343'38Or Fax: (non)783'291u Fax: (ooe)7n+o4xn <br />
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