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WP0038336
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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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- CHAIN OF CUSTODY <br /> Special ; www.fglinc.com <br /> Analytical Chemists ' Field Copy (3 of 3) <br /> 357_ :02/06/2017 TEST DESCRIPTION See Reverse side for Co nf ner,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Adss: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: a <br /> c? w 3r- <br /> Contact Person: Rodney Estrada A Q 2 <br /> Project Name: O �, <br /> Purchase Order Number: V w d ua <br /> Quote Number: ST 20160309-01 y x a <br /> a w a oo <br /> Sampler(s) o z T A <br /> a <br /> U * .2 a x <br /> �°o w <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / / Time: / E p z O a d z O z <br /> --- -- 8 co� gz <br /> Cn u A E~ <br /> Lab Number: STK 3-17919 a s n o <br /> O Co" �= F II <br /> Samp Date Time a o a o x <br /> Location Description Sampled Sampled oNum r <br /> F. 0 <br /> 1 \ G DW <br /> Remarks: Relinquished N Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8,Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office 8,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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