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WP0040747
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040747
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Entry Properties
Last modified
10/29/2020 5:02:15 PM
Creation date
5/22/2020 11:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040747
PE
4366
STREET_NUMBER
13285
Direction
S
STREET_NAME
WILLOW GLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
19104011
ENTERED_DATE
4/22/2020 12:00:00 AM
SITE_LOCATION
13285 S WILLOW GLEN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> EWIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 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 <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 ro <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A <br /> w 0 <br /> Project Name: vwi <br /> Purchase Order Number: j <br /> 54 <br /> Quote Number: ST 20160309-01 <br /> F- <br /> Sampler(s) o vwi z > O <br /> U * v <br /> * a <br /> o O <br /> Sampling Fee: Pickup Fee: S <br /> a G <br /> Compositor Setup Date: /_/_ Time: / E a zo p <br /> � E o Ca <br /> Lab Number: STK 3-17919 0 6 Q p <br /> o °' F• o� <br /> Sam Date Time .0 <br /> Num Location Description Sampled Sampled H a° ra w O w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <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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