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WP0038674
EnvironmentalHealth
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NORTHLAND
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6103
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038674
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Entry Properties
Last modified
12/27/2021 3:36:16 PM
Creation date
3/25/2019 9:50:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038674
PE
4378
STREET_NUMBER
6103
Direction
E
STREET_NAME
NORTHLAND
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
19712074
ENTERED_DATE
8/16/2018 12:00:00 AM
SITE_LOCATION
6103 E NORTHLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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Special Chi OF CUSTODY <br /> Analytical Chernistsf Laboratory Copy (1 of 3) <br /> � III�III�II 3 730:02'06!2017 - MST DFSCRIPTION' Ser Reaer,, side for Container. Preser\alk and.."aniplinL inrorniatiwt --- <br /> Client: San JoTin uin Countv EHD <br /> 1 <br /> Address: San Joa.4uin Co Environmental Health Dep <br /> Water Oality vision <br /> Atm:Rodney E hada 3 a a <br /> 1868 East Hazeton Ave. <br /> Stockton,CA X5205 t3 1 <br /> iu <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada d <br /> Project Name: 1, `Q� Q r�t{� ��� to � y <br /> Purchase Order umber: a <br /> Quote Number: ST 20160309-01 > `✓ N <br /> 5 o F <br /> Sampler(s) P�11 tit `n �h o M 0C <br /> co �S O A <br /> to pe, <br /> ax <br /> a Q n <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: o z p a Z O <br /> A C <br /> 4. � o� o �z f?, A F� <br /> Lab Number: STK �, '�O 3-17919 T .. U atn <br /> a a <br /> '� o � E.• P'0 �� �.. H II <br /> Samp Date Time � & 'fj d o a o x <br /> Location Description ,, o �, o 0 � <br /> Num Sampled Sampled �, , M w O v-. 0 N <br /> 1 Z Z y G DW 1 1,1,1 "I <br /> Remarks: Relinquished `Date: Time: tin uished D Date: Time: Relinquished Date: Time: <br /> �5y &.1 1706 4 -60 <br /> eceived By: Date: Time: Received By: ate: Time: 'e 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/Aa Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3607 Fax:(8051783-2912 Fax:(559)734-8435 <br />
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