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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 /> AGRICULTURAL special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 o 3) <br /> 11 <br /> I 35730:02/06/2017 Tl �T DESCRIPTION - See Reverse side for Container. Preservative and S;mpli; , information <br /> Client: San Joaquin C-unty EHD <br /> Address: San Joaquin Cc' Environmental Health Dep <br /> Water Quality Livision .a <br /> Attn:Rodney E•trada 3 <br /> 1868 East Haze-lion Ave. 3 <br /> Stockton,CA 95205 =' <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> x 3 <br /> Purchase Order Number: <br /> aQuote Number: ST 20160309-01 <br /> E o t� <br /> Sampler(s) 0� v 0 a Q <br /> x O <br /> O I�R W <br /> Sampling Fee: Pickup Fee: a = acv x F- <br /> ai o <br /> Compositor Setup Date: / / Time: / E a z o .. 5 = c v O z E <br /> ti ova) CJ c w Q F- <br /> Lab Number: STK 3-17919 0 o: a v O E a_ �F a Z o <br /> �- a ~° � vx v o <br /> Samp Location Description Date Time v E E <br /> o 5� a, <br /> Num Sampled Sampled S <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received B�: Date: Time: Received By: Dare: Time: <br /> Coroorate 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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