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WP0040095
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040095
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Entry Properties
Last modified
1/6/2020 2:25:55 PM
Creation date
1/6/2020 2:20:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040095
PE
4380
STREET_NUMBER
13727
STREET_NAME
CASTLE
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
19712080
ENTERED_DATE
9/19/2019 12:00:00 AM
SITE_LOCATION
13727 CASTLE RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 a <br /> Attn: Rodney Estrada cx <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> a <br /> Phone: (209)468-0331 Fax: <br /> � w 3 cn _ <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: C7 ti <br /> Purchase Order Number: V W W <br /> Quote Number: ST 20160309-012 00 <br /> Sampler(s) Ew z T OO Q <br /> v� a x <br /> Sampling Fee: Pickup Fee: c or <br /> y 'U N <br /> c0 N 'O z i N <br /> Compositor Setup Date: /_/_ Time:_/ E G, z O 8 z ;, <br /> �n E o� o� Ez <br /> Lab Number: STK 3-17919 o ii w a U <br /> x x <br /> Samp Date Time s Q o c o x <br /> Num Location Description Sampled Sampled " ' o " t' ° ' 2 n Z <br /> P P F- a m 00 O U-- 0 C4 u._: w u <br /> 1 G DW <br /> Remarks: Relinquished Date: 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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