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WP0037649
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037649
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Entry Properties
Last modified
6/12/2019 4:17:45 PM
Creation date
6/12/2019 3:24:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037649
PE
4366
STREET_NUMBER
7625
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705049
ENTERED_DATE
11/29/2017 12:00:00 AM
SITE_LOCATION
7625 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENCIIAONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information _ <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: 3 o <br /> Contact Person: Rodney Estrada 5� � Q LJ <br /> � x <br /> Project Name: �, i <br /> Purchase Order Number: <br /> cu °� <br /> Quote Number: ST 20160309-01 " x <br /> Sampler(s) <br /> U " V a <br /> c 'c O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/ Time: /_ E Z O cc <br /> Lab Number: STK 3-17919 0 a a <br /> �O <br /> Samp Date Time rya <br /> Num Location Description Sampled Sampled P' aX cn <br /> 0 Navel Blank G LBS' 4 <br /> I G DW 4 <br /> Remark,: Reiinquished Date: Mime: Relinquished Date: Time: Relinquished Date: Timr: <br /> Received Bv: Date: Gime: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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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