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SR0077855
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077855
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Entry Properties
Last modified
9/13/2019 10:35:58 AM
Creation date
9/13/2019 9:26:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077855
PE
4380
STREET_NUMBER
10922
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00738028
ENTERED_DATE
6/29/2017 12:00:00 AM
SITE_LOCATION
10922 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chennists Field (ropy (3 of 3) <br /> 3F730:02A%f)/2017 TEST DESCRIP"hION'4 See Reverse side fur Container. 'reservati�,'.ind Sampling information <br /> C tient Sar Joaquin County EHD <br /> Address. Sa0oaquin Co. Environmental Healih Dep i <br /> i <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada 04 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> � x <br /> Project Name: c7 b b <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y w <br /> x E o E- <br /> °n oc <br /> Sampler(s) z T C] <br /> * o c as Q- W <br /> a wc� xF <br /> Sampling Fee: Pickup Fee: ':5� y <br /> n <br /> y o 0 a v �z <br /> Compositor Setup Date: / /_ Time: / E 2 z O o n. _z v O „ E <br /> cn <br /> E o o EE- <br /> Lab Number: STK 3-17919 0 <br /> Ea ��� H II a n. <br /> 0 :EE- a ` <br /> Samp Location Description Date Time v c b b b c N v ; y n A <br /> Num Sampled Sampled r' u. <br /> I G DW <br /> Remark;; 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 /> S,4nta Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> ` <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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