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WP0040217
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040217
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Entry Properties
Last modified
3/16/2020 9:32:56 PM
Creation date
3/16/2020 4:20:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040217
PE
4380
STREET_NUMBER
202
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
21634008
ENTERED_DATE
10/25/2019 12:00:00 AM
SITE_LOCATION
202 W JOSEPH RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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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 a <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada R A <br /> Project Name: Mcxfi4eCCt C44Y <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a ¢ >�`' a <br /> V <br /> Sampler(s) o z O <br /> U * v 0 a O <br /> * x <br /> Sampling Fee: Pickup Fee: S <br /> c w �� a rq o.� <br /> M N <br /> Compositor Setup Date: / / Time: / E °' z s v " O O z E <br /> P P V) E O c� ° z Cz w Q E <br /> 0 <br /> Lab Number: STK 3-17919 0 a o. a = a a <br /> v 0 <br /> Sam p Date Time t T o a c o N aci 0 a s <br /> P Location Descri tion a, <br /> n v v o o ,, ; <br /> Num Sampled Sampled � E- a m w O U-- C7 N ii u w <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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