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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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e ee CHMN OF CUSTODY <br /> . - AGRICULTURAL 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 a <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> � x <br /> Project Name: C7 vwi <br /> Purchase Order Number: ua <br /> Quote Number: ST 20160309-01 N ¢ `=C' a <br /> W <br /> Sampler(s) o V) z T .a <br /> U * v V) a a O <br /> _ x <br /> 04 'C 0. <br /> Q O w <br /> Sampling Fee: Pickup Fee: 5 ° y o °'� C:).:::) <br /> F" <br /> C Cn M a� <br /> Compositor Setup Date:_/ /_ Time:_/ zO Q. 'o z c zw Q F <br /> x <br /> Lab Number: STK 3-17919 0 w ii <br /> Samp Date Time a 5 <br /> Location Description Sampled Sampled O ° <br /> Num U v <br /> F4 <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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