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WP0038336
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038336
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Entry Properties
Last modified
6/10/2019 12:29:55 PM
Creation date
5/24/2019 3:31:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038336
PE
4378
STREET_NUMBER
565
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
22802028
ENTERED_DATE
5/25/2018 12:00:00 AM
SITE_LOCATION
565 S AUSTIN RD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHmriOF CUSTODY <br /> -_-- . , Sp cial w .fglinc.com <br /> ENMONMEPTAL <br /> Analytical Chemists Customer Copy (2 of <br /> I 35730:02/06/2017 TES _ ESCRIPTION - See Reverse side for Container,Preservative and Sampling i l`brmation <br /> Client: San Joaquin Coun EHD a <br /> Address: San Joaquin Co. Esonmental Health Dep <br /> Water Quality Divi )n a ' <br /> Atte:Rodney Estrada a ' <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-0331 Fax: w �" <br /> Contact Person: Rodney Estrada Q <br /> •. <br /> Project Name: O w 0 <br /> o�G �n <br /> Purchase Order Number: �=L 1A U w u uj <br /> w <br /> Quote Number: ST 20160309-01 o ¢ w w <br /> E o00 <br /> H <br /> Sampler(s) <br /> o (0) O a .a <br /> Sampling Fee: Pickup Fee: 5 ; o aQ y� <br /> y o aCi ro m b G E <br /> Compositor Setup Date:_/_/ Time:_/_ z O is •o z z w A F <br /> 0 <br /> Lab Number: STK 3-17919 0 <br /> 0 0 <br /> Sam Date Time <br /> d '2+ 'LJ 42 d E <br /> Num Location Description Sampled Sampled " 0 d cd-S 0 a <br /> 1 0 J G DW <br /> Remarks: Relinquished `� ' 1 1 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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