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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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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists —1 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 w <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A Q 8 <br /> �? <br /> Project Name: O C4 v°� <br /> Purchase Order Number: <br /> eo W <br /> Quote Number: ST 20160309-01 o <br /> a w a <br /> Sampler(s) o �w z E, A <br /> U .2 Cn x a. o <br /> oa. Q M <br /> Sampling Fee: Pickup Fee: .S �' ;O o <br /> d y O •a �" U N tN0 c0 M b y � <br /> Compositor Setup Date:_/_!_ Time:_!_ �, z O Z = �' <br /> 0 <br /> Lab Number: STK 3-17919 o v: p^, c. � U <br /> d o ? F rx� C� �P. u II c c <br /> Samp Date Time p b '� °� a <br /> Location Description o <br /> Num Sampled Sampled M O U 4a <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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