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WP0038009
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038009
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Entry Properties
Last modified
4/11/2019 9:24:51 AM
Creation date
4/11/2019 8:55:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038009
PE
4378
STREET_NUMBER
8477
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705010
ENTERED_DATE
3/5/2018 12:00:00 AM
SITE_LOCATION
8477 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHmm OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:03106'2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County Ell <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 3 <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada gin <br /> Project Name: �'�_ +�1 S'�1 U � <br /> Purchase Order Number: y w 3 <br /> Q _ a <br /> Quote Number: ST 20160309-01 N <br /> Sampler(s) tj (��,� E z O Q <br /> N x <br /> Sampling Fee: Pickup Fee: rn n <br /> .-N <br /> 5 <br /> Compositor Setup Date: / / Time: /_ E a z <br /> z c <br /> E o _ z <br /> it Ca F <br /> Lab Number: STK 3-17919 o v' E <br /> o w F o a a F II n o <br /> Samp Location Description Date Time s � '�r = oS °' E <br /> Num v Sampled Sampled F ce <br /> 1 G 1) I 1.1.1 <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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