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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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CHMN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fgUnc.com <br /> Analytical Chernists <br /> Field Copy (3 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 a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q Q <br /> = a <br /> Project Name: <br /> Purchase Order Number: U wv w <br /> Quote Number: ST 20160309-01 N ¢ " x a ;5 <br /> E o E- <br /> a <br /> Sampler(s) o vwi z <br /> xEw- <br /> Sampling Fee: Pickup Fee: <br /> fl a� o ep bZ E <br /> Compositor Setup Date: / / Time: /_ E Q z O n = z „ v. M <br /> E o o c ti Q F- <br /> Lab Number: STK 3-17919 0 iE a U x x <br /> 0 0 F cL 0 <br /> Samp Location Description Date Time y a o o of a <br /> Num Sampled Sampled F a oo c0 O Uc7 c� u._: w! u. <br /> 1 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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