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WP0039228
EnvironmentalHealth
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ALPINE
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1819
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039228
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Entry Properties
Last modified
12/27/2021 2:25:15 PM
Creation date
3/25/2019 2:43:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039228
PE
4378
STREET_NUMBER
1819
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10113048
ENTERED_DATE
1/24/2019 12:00:00 AM
SITE_LOCATION
1819 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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s == CHMN OF CUSTODY <br /> EffflRONMENTAL -AGRICULTURAL Sp+ecia www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730.02/06i2017 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 li <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> G <br /> v <br /> Phone: (209)468-0331 Fax: <br /> v w 3 <br /> Contact Person: Rodney Estrada Q <br /> o z <br /> Project Name: v, <br /> Purchase Order Number: <br /> Quote?Number: ST 20160309-01 <br /> E o F- <br /> Sampler(s) o vW z > Q <br /> 0 a O <br /> Sampling Fee: Pickup Fee: 5� ° fl I <br /> N M N <br /> Compositor Setup Date: _/ / _ Time: /_ E z p <br /> ciCv¢i ol. Cz <br /> O <br /> Lab Number: STK 3-17919 0 % a a E p <br /> Satrap Date Time o c c x <br /> Num Location Description led Sampled " ° o N �' ^ Q <br /> P p F a W rAC U U N <br /> Sam <br /> I G OW <br /> i <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 /> I <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&LaboratoOffice&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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