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WP0040075
EnvironmentalHealth
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ORFORD
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040075
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Entry Properties
Last modified
11/28/2023 11:14:42 AM
Creation date
10/22/2019 2:43:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040075
PE
4366
STREET_NUMBER
7947
Direction
E
STREET_NAME
ORFORD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10126036
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
7947 E ORFORD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CtWN OF CUSTODY <br /> XVI <br /> •• Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205 CIS <br /> o. <br /> Phone: (209)468-0331 Fax: `x <br /> Contact Person: Rodney Estrada �, Q <br /> Project Name: <br /> Purchase Order Number:(.\ <br /> E w ¢ x <br /> Quote Number: ST 20160309-01 N x <br /> E <br /> Sampler(s) o rii z a O <br /> a <br /> Sampling Fee: Pickup Fee: 5 v' <br /> o U <br /> Compositor Setup Date: /_/ Time:_/_ rn z O A <br /> E <br /> Lab Number: STK 3-17919 to rn 6 Q <br /> v0 <br /> 0 0 ?? N alc� <br /> Samp Date Time 6 p o 'z '= w Q <br /> Num Location Description Sampled Sampled H a cC O w <br /> 0 Travel Blank G LBW 4 _ <br /> 1 G DW 4 <br /> Remarks: Relinquished Dare: 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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