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WP0039516
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039516
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Entry Properties
Last modified
3/24/2022 2:59:09 PM
Creation date
7/31/2019 10:48:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039516
PE
4380
STREET_NUMBER
2500
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01323041
ENTERED_DATE
4/16/2019 12:00:00 AM
SITE_LOCATION
2500 E WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUSpecial www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:01'Il6/2017 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. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: * r r4 <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: U a w <br /> Quote Number: ST 20100309-01 �_ a <br /> � x <br /> N <br /> Sampler(s) o Wn z > O a <br /> U * -R a ? O <br /> �r <br /> o O a 0 ° W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/ Time: / 1= z Q - z y10 E <br /> v� E °v o cz w Q F <br /> 0 <br /> Lab Number: STB 3-17919 0E o U N x x <br /> oa <br /> Samp Date Tirne E ? i o y b x b <br /> 1\um Location Descrip tion 5_Sampled Sampled ' ` <br /> P P F' a m ca O U 0 cv <br /> I G DW <br /> t _ � <br /> I <br /> - t <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 /> 833 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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