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WP0040300
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040300
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Entry Properties
Last modified
1/29/2020 2:08:31 PM
Creation date
1/29/2020 1:23:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040300
PE
4380
STREET_NUMBER
12599
Direction
S
STREET_NAME
COMETA
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20722025
ENTERED_DATE
11/12/2019 12:00:00 AM
SITE_LOCATION
12599 S COMETA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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M-= CHAIN 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Q <br /> Phone: (209)468-0331 Fax: a <br /> C7 W <br /> Contact Person: Rodney Estrada A ¢ a <br /> Project Name: rn <br /> Purchase Order Number: —' <br /> Quote Number: ST 20160309-01 N W <br /> u E o H <br /> a 00 <br /> Sampler(s) 0 vi z T O A <br /> r, <br /> Sampling Fee: Pickup Fee: t'" o ° � a] <br /> c �, o as a'v v M ro M <br /> Compositor Setup Date:_/_/ Time:_/_ E Q z O z O <br /> Lab Number: STK 3-17919 o ii <br /> d aF� <br /> ^ <br /> ^Samp Date Time 6 . <br /> Location Description Ud " o Num Sam led Sampled " aaO a <br /> a <br /> U N <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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