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WP0039648
EnvironmentalHealth
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MILTON
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19958
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039648
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Entry Properties
Last modified
3/24/2022 2:44:16 PM
Creation date
7/31/2019 9:55:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039648
PE
4366
STREET_NUMBER
19958
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10521004
ENTERED_DATE
5/24/2019 12:00:00 AM
SITE_LOCATION
19958 E MILTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> rx <br /> Contact Person: Rodney Estrada Q <br /> Project Name:—)' UU�)b <br /> Purchase Order Number: _'C1C12Y1 ua <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) c, U a a o <br /> a Y h <br /> 1.Cw� n Gi c o O S� Q p W <br /> Sampling Fee: Pickup Fee: _ <br /> N M N <br /> Compositor Setup Date:_/_/ Time: / E o z O =� z O z E <br /> v: E o� o cz u Q F <br /> Lab Number: STK 3-17919 0 ii a U x N x x <br /> a a <br /> 0 0 ET a� oa roa F II <br /> Samp Date Time n ° =o o x ° <br /> Num Location Description Sampled Sampled " ' ° ° ° <br /> 1 G DW <br /> Remarks: Relinquished 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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