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WP0040278
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040278
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Entry Properties
Last modified
3/13/2020 3:08:25 PM
Creation date
12/19/2019 1:26:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040278
PE
4366
STREET_NUMBER
4219
STREET_NAME
BLUESTONE
STREET_TYPE
CT
City
ACAMPO
Zip
95220-
APN
00536009
ENTERED_DATE
11/6/2019 12:00:00 AM
SITE_LOCATION
4219 BLUESTONE CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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=_ CHAIN OF CUSTODY <br /> - AGRICULTURAL Special www.fglixee.eom <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 i <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: >r <br /> c? a 3 <br /> Contact Person: Rodney Estrada <br /> X120 eAwe-G'�ne CT x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 W ¢ " 1 <br /> W a F" 00 <br /> 2 0 H <br /> Sampler(s) E Z T O a oa <br /> L .22 a o <br /> Sampling Fee: Pickup Fee: 5 o a'O a <br /> c <br /> Cn <br /> Compositor Setup Date: / / Time: / E a z p a z z E <br /> E o� 0 5z <br /> Lab Number: STK p x x x <br /> 3-17919 0 - .6 a 0 U n c <br /> o > °'O CQ a H II <br /> Samp p Date Time r T o Y o N 0 D a <br /> Location Description Num Sampled Sampled 2 E� a pa p U o C7 o <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 2kR'2��?U <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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