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WP0039943
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039943
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Entry Properties
Last modified
1/28/2020 10:00:46 AM
Creation date
10/1/2019 11:35:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039943
PE
4378
STREET_NUMBER
30913
Direction
E
STREET_NAME
EDWARDS
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20726056
ENTERED_DATE
8/12/2019 12:00:00 AM
SITE_LOCATION
30913 E EDWARDS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CI lmri OF CUSTODY <br /> -ENVIAbNMENTAL AGRICULTURAL Special www.fglinc.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 3 :a <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> L Ca oq F <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: <br /> oq ti Lt <br /> Quote Number: ST 20160309-01 <br /> C) 00 F- <br /> Sampler(s) U * y a 0 <br /> 0 w <br /> Sampling Fee: Pickup Fee: = ° cu <br /> x E- <br /> a <br /> a — p a y " ° 'O �z E <br /> Compositor Setup Date: / / Time:_/ E n z 2 :_ z y <br /> V� z a L1 F- <br /> Lab Number: STK 3-17919 0 a a v& E a o v n a <br /> O <br /> Samp Date Time S a b , L E u o x <br /> Num Location Description Sampled Sampled " ' �' ° ^ a <br /> 1 P � F n co m O U -- U <br /> I G DW 1 LLI <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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