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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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FGL Special CHAIN OF CUSTODY <br /> RA p www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35731:02/06/2017 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 /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada A <br /> Project Name:'T- l( N'_C'XA�eVCn <br /> Purchase Order Number: w ti <br /> w ¢ CIO <br /> Quote Number: ST 20160309-01 o x <br /> a E <br /> Sampler(s) o z . <br /> �r r v * .2 <br /> Sampling Fee: Pickup Fee: <br /> G <br /> Compositor Setup Date:_/_/ Time:_/ E —°'r, z O Q <br /> Lab Number: STK 3-17919 0 a o p <br /> 0 0 ?? F a0 > <br /> Samp Date Time 0 '¢ <br /> Num Location Description Sampled Sampled F a° rrA o�C O � <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> I . <br /> 7-4---.- c�C 202-0 1 hli <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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