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WP0036909
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036909
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Entry Properties
Last modified
4/11/2019 9:32:54 AM
Creation date
4/11/2019 8:51:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036909
PE
4366
STREET_NUMBER
13275
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00723044
ENTERED_DATE
7/25/2017 12:00:00 AM
SITE_LOCATION
13275 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Tags
EHD - Public
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--= CHmri OF CUSTODY <br /> - <br /> AGRICULTURAL Special www.fglinc.com <br /> ENVIRONMENTALAnalytical Chernists- Customer Copy (2 of 3) <br /> 2 <br /> 3:".30;02,06,2017 1 LSI DLSC'RII1710\ Scc Rc�ciu:: ulc I,i ( ; ;.uuci, Preunamc and Sampling inionnui nt <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 /> n <br /> Phone: (209)468-0331 Fax: <br /> ij w 3 <br /> Contact Person: Rodney Estrada <br /> Colll <br /> Project Name: 1 v: lu <br /> Purchase Order Number: G T v w u v lu <br /> o w <br /> w ¢ x a <br /> Quote Number: ST 20160309-01 — N <br /> E o F- <br /> Sampler(s) o vw z > O O <br /> C) v v a a o <br /> Sampling Fee: Pickup Fee: <br /> C <br /> Compositor Setup Date: / / Time: / E z p z o y z E <br /> M c � z <br /> Lab Number: STK 3-17919 c a a M U X x <br /> o v F-' w o a a H II a o <br /> ; = <br /> Samp Date Time to J U L - C C E x <br /> Location Description Sampled Sampled " ' ° ° ' �' a <br /> Num <br /> P P ' 2 F c w wO v -- 0 <br /> I G 1)W I 1,1.1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ;JSU izI)Vlq J�� <br /> Received By: Date: Time: Received By: Date: Time: Received By: Daie: Time: <br /> ZCorp12- <br /> Corporate <br /> orate 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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