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WP0040053
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040053
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Entry Properties
Last modified
3/16/2020 9:36:18 PM
Creation date
3/16/2020 4:02:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040053
PE
4378
STREET_NUMBER
21390
Direction
E
STREET_NAME
EASTERN HEIGHTS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10522013
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
21390 E EASTERN HEIGHTS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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-= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRIC • , Special www.,fgUnc.com <br /> Analytical Chemists Field Copy (3 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 /> Atm: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> C7 Lc1 V) <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: U w 3 63 w <br /> Quote Number: SI'20160309-01 N w <br /> 0 ] 00 A <br /> Sampler(s) o Ln V <br /> z O a <br /> U * V) <br /> n <br /> o O .5 <br /> Sampling Fee: Pickup Fee: Ei ° o a.O a <br /> C I N M v <br /> n „ o o V R aO •oZ E <br /> Compositor Setup Date: /_/ Time: / E a z O ¢ z ,, a, <br /> E o� o � z w Q H <br /> Lab Number: STK 3-17919 0 V a o. U x N^ x x <br /> Samp Date Time N oLocation Description Soo <br /> b x <br /> Num Sampled Sampled O <br /> 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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