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WP0038640
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FOREST LAKE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038640
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Entry Properties
Last modified
4/11/2019 9:31:24 AM
Creation date
4/11/2019 9:29:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038640
PE
4366
STREET_NUMBER
2820
Direction
W
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00306031
ENTERED_DATE
8/9/2018 12:00:00 AM
SITE_LOCATION
2820 W FOREST LAKE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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--- CHAIN OF CUSTODY , <br /> ENVIRONMENTAL AGMCULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse its„for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD j <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a €; A <br /> Attn:Rodney Estrada �; °' 1• <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> w rn <br /> Contact Person: Rodney Estrada A <br /> o <br /> Project Name: w. O <br /> Purchase Order Number: U w w <br /> w <br /> Quote Number: ST 20160309-0100 <br /> E o F <br /> Sampler(s) \� U cn a o <br /> O a <br /> - � pC <br /> "aa• d cn W <br /> Sampling Fee: Pickup Fee: a a O ro a 0 <br /> Compositor Setup Date: / / Time: / a z O a ^� � O d z E <br /> E <br /> Ln oz CzF- <br /> Lab Number: STK 3-17919 o FL„ o U x <br /> H a� fie' <br /> Samp Location Description Date Time fl o -B o a �' <br /> Num Sampled Sampled F a W W O U LL. u, <br /> G DW <br /> Remarks: Relinquished i J Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> VV i i <br /> Receked By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratork 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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