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WP0036509
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036509
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Entry Properties
Last modified
3/8/2019 5:02:02 PM
Creation date
3/8/2019 4:20:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036509
PE
4366
STREET_NUMBER
571
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10126035
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
571 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 1111i 11111111111111111111111111 IN 11 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for. ontainer.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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Coll <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3r- <br /> Contact Person: Rodney Estrada A <br /> Project Name: 1 N �� ' &0) r� a <br /> Purchase Order Number: !.� �� ,e U W V) <br /> Quote Number: ST 20160309-01 N a <br /> g E o H <br /> E w z V, °° A <br /> U (A ^? p O. a <br /> Sampler(s) <br /> o <br /> 0 "a aM x <br /> Sampling Fee: Pickup Fee: o °"0 0 <br /> a O •� a''v ami cNa m"' 'O z a; °� <br /> Compositor Setup Date:_/_/_ Time:_/_ 2z p c z O <br /> o ° z fz <br /> Lab Number: STK 3-17919 a U <br /> o a, n. rA x H x x <br /> Samp Date Time o '� ^o o ~�x b v <br /> Location Description " ' ° d ° ° <br /> Num Sampled Sampled '^ ° <br /> P P F a M M O U U N it 77-: i3 is. <br /> 1 ;tl, G DW <br /> Remarks: Relinquished ate: Time: Relinquished Data: Time: Relinquished Date: Time: <br /> wlvbm <br /> Recek"i Bv: Date: Time: Received By: Date: Time: ReceiNed B\: 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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