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WP0038849
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038849
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Entry Properties
Last modified
3/24/2020 1:36:48 PM
Creation date
1/23/2019 8:38:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038849
PE
4366
STREET_NUMBER
8225
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
Zip
95230-
APN
187400370
ENTERED_DATE
10/4/2018 12:00:00 AM
SITE_LOCATION
8225 S HENRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 3 aa^ <br /> Attn: Rodney Estrada cG <br /> 1868 East Hazelton Ave. V <br /> Stockton,CA 95205lu <br /> 3 a <br /> Phone: (209)468-0331 Fax: a <br /> w 3 <br /> Contact Person: Rodney Estrada ro Q d pF" <br /> C7 ? o <br /> Project Name: W <br /> Purchase Order Number: U W 3 uw <br /> Quote Number: ST 20160309-0100 <br /> y ¢ a a <br /> Sampler(s) E wZ T O Q <br /> x <br /> F- <br /> Sampling Fee: Pickup Fee: _ <br /> G N m Z a <br /> Compositor Setup Date:_/ / Time:_/ � z p cx o z c w Ca <br /> 0 <br /> Lab Number: STK 3-17919 o w a a E a� a v a o <br /> Samp Location Description Date Time " o ZE o N =� <br /> Num Sampled Sampled 2 F- a ai w O U-- L7 r4 <br /> I G DW <br /> Remarks: 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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