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WP0040667
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040667
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Entry Properties
Last modified
12/15/2020 4:06:11 PM
Creation date
5/14/2020 2:13:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040667
PE
4370
STREET_NUMBER
14022
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20607003
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
14022 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\fgarciaruiz
Tags
EHD - Public
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_- - CHM11 OF CUSTODY <br /> ENVIReNMENTAL - AGRICULTURAL Special www.fgunc.com <br /> Analytical Chemists 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 1 <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. b <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person: Rodne 1strada CI Q <br /> 1yC) ' S N�-r <br /> x <br /> Project Name: <br /> Purchase Order Number: CK-1 3U w 3 <br /> w ¢ x <br /> Quote Number: ST 20160309-01 y, <br /> E <br /> Sampler(s) o z > O <br /> PA <br /> Sampling Fee: Pickup Fee: <br /> a <br /> U <br /> Compositor Setup Date:_/_!_ Time: /_ Q z O a <br /> E co C? <br /> Lab Number: STK 3-17919 0 a a v O <br /> C, <br /> Samp Date Time E a t <br /> Num Location Description Sampled Sampled u p° p r°,�= <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> I <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 /> (� I0�ilit,n <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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