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WP0040076
EnvironmentalHealth
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99 (STATE ROUTE 99)
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22420
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040076
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Entry Properties
Last modified
11/19/2024 1:59:18 PM
Creation date
10/30/2019 11:56:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040076
PE
4366
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
22420 N HWY 99 W FRONTAGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> l'IIIIIIIII�IIII�IIIIIII'I�II�IIIIIIIIIIIIIIIIIIIIIIIIII� 3;731:115.11' 2021 I SI' DI Y I'll,[Ic „c side tnr c'ontauter. Preser\ail\e and Sampling mtbrmattun <br /> Client: San Joaquin County EHD S <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Michael Kith �, w <br /> 1868 East Hazelton Ave. ro <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-3444 Fax: wCn <br /> Contact Person: Michael Kith rA <br /> A <br /> Project Name: a cn <br /> Purchase Order Number: <br /> d w <br /> Quote Number: <br /> � U <br /> Sampler(s) Cn <br /> z T G? <br /> U * .2 v� _ <br /> en ° C) <br /> Sampling Fee: Pickup Fee: <br /> 'Q d <br /> Compositor Setup Date: / / Time: / E a z O ¢ w <br /> Lab Number: STK 3-17919 0 rn ii j <br /> 0 0e? F O C7 <br /> Sam Date Time p <br /> Num Location Description Sampled Sampled � I F a m" A O r%n- <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished U uc: I imc: <br /> Received By: Date: Time: Received By: Datc: Time: Received By: Date: lime: <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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