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WP0039157
EnvironmentalHealth
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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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--_= CfWN OF CUSTODY <br /> LNVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) x <br /> 3 � <br /> 730:02/06/2017 TEST DESCRIPTION See Reverse side for '.ntainer,Preservative and Sampling information <br /> Client: San Joaquin County EHD j <br /> Address: San Joaquin Co.Environmental Health Dep & y- <br /> s <br /> Water Quality Division <br /> Atm:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: <br /> W � <br /> Contact Pers' <br /> q iI�o�.pe E da, A <br /> G-\d <br /> Project Name: <br /> Purchase Order Number:' <br /> Quote Number: ST 20160309-01 o a ¢ U, a <br /> a. W a 000 A <br /> Sampler(s) UF11O a. .a <br /> 1A�l y}J V� Ab,\QMH\ n N O <br /> o o Ei� Qo w <br /> Sampling Fee: Pickup Fee: °" ;, '5 °" a <br /> ci. <br /> Compositor Setup Date:_/ o <br /> _/_ Time:_/_ E z p d ='1;J O z E <br /> 0 C <br /> z <br /> Lab Number: STK 3-17919 0 ii a U x x x <br /> .b w <br /> So o <br /> o <br /> amp Date Time � a ^� <br /> Location Description 6� <br /> oa. �0a?' F~xaSam led SampledNumO U 0 c4 ii. II <br /> 1 G DW 1 1, (0 <br /> Remarks: Relinquished t Date: Time: Relinquished Date: Time: Relinquished Dare: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Cprporate 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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