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WP0039291
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039291
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Entry Properties
Last modified
10/1/2019 1:18:03 PM
Creation date
10/1/2019 11:40:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039291
PE
4380
STREET_NUMBER
18720
Direction
E
STREET_NAME
SIERRA VIEW
STREET_TYPE
CT
City
CLEMENTS
Zip
95227-
APN
01926065
ENTERED_DATE
2/12/2019 12:00:00 AM
SITE_LOCATION
18720 E SIERRA VIEW CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 5730:02/06/2017 TEST DESCRIPTION - See Reverse side for t'ontainer. 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 p , <br /> 1868 East Hazelton Ave. v <br /> d J <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada @ ¢ a <br /> � x <br /> C7 w o <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a <br /> E O oho F <br /> Sampler(s) o vwi z > <br /> U * y x a O <br /> x <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: CC <br /> y V/ / Time: / E z p a z °O M v E <br /> z <br /> = o c x <br /> o <br /> Lab Number: STK 3-17919 0 ii a v w F <br /> T 'U ca `a Fil x x <br /> J 2 t1 <br /> Samp Date Time t '� y =o c o <br /> Num Location Description Sampled Sampled ° " ^ a <br /> P P � F = m O U C5 <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: D:ur: 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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