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WP0039157
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MANUEL SILVA
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039157
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Entry Properties
Last modified
6/10/2019 1:44:58 PM
Creation date
5/24/2019 3:48:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039157
PE
4366
STREET_NUMBER
26468
Direction
N
STREET_NAME
MANUEL SILVA
STREET_TYPE
CT
City
ACAMPO
Zip
95220-
APN
00535007
ENTERED_DATE
1/3/2019 12:00:00 AM
SITE_LOCATION
26468 N MANUEL SILVA CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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- -__ CHmri OF CUSTODY <br /> MWONMENTAL AGRICULTURAL pecialwww.fglilnc.com <br /> Analytical Chemists Customer Copy (2 c 3) <br /> 35730:02/06/2017 T T DESCRIPTION - See Reverse side for Container,Preservative and Samph. information <br /> Client: San Joaquin C40nty EHD u <br /> Address: San Joaquin CaEnvironmental Health Dep <br /> Water Quality <br /> Jvision ,4 <br /> Attn:Rodney Eylrada a 4, <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w N x <br /> Contact Person: Rodney EstradaCn <br /> A Q <br /> Project Name Z•`\0 A10b u ylV Qc w 19 v� <br /> 3 0 <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 ti a ¢ "' x N <br /> E o00 <br /> F• <br /> Sampler(s) ti O A <br /> * 4 0x <br /> o LU <br /> Sampling Fee: Pickup Fee: c a a o f <br /> c <br /> Compositor Setup Date:_/ /_ Time:_/ z° p CG ='z z z Lab Number: STK 3-17919 0 6- o U x n x x <br /> 0 0 ?? H C4 <br /> amp Date Timec .0 °' =o a o 'd x 'd b <br /> Num Location Description Sampled Sampled °1 ' 0 0 d o N , 0 a <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received B)': 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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