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WP0040674
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040674
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Entry Properties
Last modified
7/22/2020 1:01:57 PM
Creation date
7/22/2020 12:18:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040674
PE
4366
STREET_NUMBER
3089
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00537027
ENTERED_DATE
3/25/2020 12:00:00 AM
SITE_LOCATION
3089 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> EMMONMENTAL --AGRICULTURALSpecial www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 11111111111111111111111 IN 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EMD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. ro <br /> Stockton,CA 95205 a <br /> 4) <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada A <br /> o a <br /> C7 W 3 0 <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) E z T <br /> U <br /> Sampling Fee: Pickup Fee: S a' � o a <br /> c <br /> Compositor Setup Date:_/ /_ Time:_/ E o z O x a <br /> "3 E oCa <br /> Lab Number: STK 3-17919 0 � a a p <br /> w a� <br /> Samp Date Time Q V ' E <br /> Num Location Description Sampled Sampled E= 0 a1 m 0 w a <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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