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SR0077469
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077469
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Entry Properties
Last modified
9/13/2019 10:24:28 AM
Creation date
9/13/2019 9:23:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077469
PE
4380
STREET_NUMBER
2125
Direction
N
STREET_NAME
SNYDER
STREET_TYPE
LN
City
STOCKTON
Zip
95215
APN
10102221
ENTERED_DATE
5/12/2017 12:00:00 AM
SITE_LOCATION
2125 N SNYDER LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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3}_ CHAIN OF CUSTODY <br /> Special A www.fglinc.com <br /> Field Copy (3 of 3) <br /> d 35730:02/06/2017 TEST DESCRIPTION - See Reverse sl&e for Con[ainer, Preservative and Sampling information <br /> Client: San Joaquin County E11D <br /> Address: San Joaquin Co. Environmental Health Dep ` <br /> n� <br /> Water Quality Division 3 ; <br /> Attn:Rodney Estrada y a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 R <br /> y <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o a ¢ rn x <br /> E F <br /> Sampler(s) o z > O Q <br /> c: y cc a o <br /> 5 a Q w <br /> Sampling Fee: Pickup Fee: <br /> °O o z Y E <br /> Compositor Setup Date:_/_/_ Time:_/ N E 7_ O E o o z z u Ca E- <br /> Lab Number: STK 3-17919 o w a a y a <br /> Samp Date Time s o y o q <br /> Location Description Sam pled Sampled ' o ' <br /> Num " <br /> I P � m0 U — C7N u. _ w u �_ <br /> l G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Lime: 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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