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WP0037679
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037679
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Entry Properties
Last modified
11/19/2024 3:48:23 PM
Creation date
1/9/2019 10:32:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037679
PE
4366
STREET_NUMBER
26702
Direction
E
STREET_NAME
STATE ROUTE 12
City
WALLACE
Zip
95227-
APN
02322007
ENTERED_DATE
12/11/2017 12:00:00 AM
SITE_LOCATION
26702 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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CHMN OF CUSTODY <br /> . . Special www.fgUnc.com <br /> Analytical Chemists field Copy (3 of 3) <br /> 34;730:02/0612017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> u <br /> Phone: (209)468-0331 Fax: * a x <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: <br /> w ¢ a w <br /> Quote Number: ST 20160309-01 y <br /> Sampler(s) U Gn 00 A <br /> ,n .a o x <br /> Sampling Fee: Pickup Fee: c ? � a F <br /> c ?: o a'' ami rA 7`" <br /> Compositor Setup Date:_/_/_ Time:_/_ E z O c z c z w A F= <br /> cn <br /> Lab Number: STK 3-17919 0 p., o co U pq x r' <br /> a <br /> Date Time " Q w ' S :2amp �Location Description '' O ° d O ) a 0 , <br /> Num Sampled Sampled E- M n o U0, <br /> s. w <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B%: Date: Time: Received By: Date: Time: Received By: Date: "time: <br /> • <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 8,53 Corporation Street 2500 Stagecoach Road 563 E.Undo 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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