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4200/4300 - Liquid Waste/Water Well Permits
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WP0040306
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Entry Properties
Last modified
3/16/2020 8:50:26 PM
Creation date
3/16/2020 4:20:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040306
PE
4380
STREET_NUMBER
8251
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09334022
ENTERED_DATE
11/15/2019 12:00:00 AM
SITE_LOCATION
8251 N WAVERLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> 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 /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> a <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada Q <br /> � x <br /> O W o <br /> Project Name: <br /> Purchase Order Number: <br /> aQuote Number: ST 20160309-01 Y d a <br /> E o F� <br /> Sampler(s) o Zun <br /> > p �a <br /> U * v 14 O <br /> Sampling Fee: Pickup Fee: <br /> v ~ N IG O 8 <br /> Compositor Setup Date: / /_ Time: / E a z p _z > Z co <br /> z <br /> E C, E- <br /> Lab Number: STK 3-17919 o w ii a E a a y n a <br /> Samp Date Time �E U 0 " . '= E °' E <br /> Location Description >, o o o y o „a <br /> Num Sampled Sampled F a. M m O 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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