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WP0039938
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039938
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Entry Properties
Last modified
3/24/2020 1:25:52 PM
Creation date
3/24/2020 1:21:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039938
PE
4366
STREET_NUMBER
4511
Direction
N
STREET_NAME
CONFER
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08924020
ENTERED_DATE
8/9/2019 12:00:00 AM
SITE_LOCATION
4511 N CONFER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTALFGL <br /> Special www.fgmc.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. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: <br /> c7 w 3 ti _ <br /> Contact Person: Rodney Estrada r kt Q <br /> � <br /> , <br /> Project Na-A511 t4 L.r,� <br /> cc a <br /> Purchase Order Number: �'i-�-�� , } --1'_ v W 3 V) -• <br /> Y > cu W <br /> Quote Number: ST 20160309-01 o a ¢ c <br /> a A <br /> Sampler(s) o z T O .a <br /> t r U * rn x O <br /> b QO x <br /> Sampling Fee: Pickup Fee: 5 ° c °'h a <br /> bz <br /> a, v <br /> Compositor Setup Date: _/_/_ Time:_/ E z O z ti <br /> E °vr'i o z E w Q E <br /> Lab Number: STK 3-17919 v w a O a a a a <br /> .. H II <br /> Samp Date Time g '� =o [o b x O b <br /> Location Description Sam '1 C o o <br /> Num led Sampled <br /> P P 2 F a m w0 U-- ON <br /> 1 G DVA' l 1.1.1 <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.Undo 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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