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WP0040949
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040949
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Entry Properties
Last modified
12/16/2020 1:34:30 PM
Creation date
8/11/2020 7:58:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040949
PE
4366
STREET_NUMBER
3800
Direction
E
STREET_NAME
MUNFORD
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
17956011
ENTERED_DATE
7/6/2020 12:00:00 AM
SITE_LOCATION
3800 E MUNFORD AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL— AMCULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 3 <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada J t A d <br /> Project Name: ( ri C7 a <br /> Purchase Order Number: 54 <br /> Quote Number: ST 20160309-01 N a ¢ (In �_ N <br /> Sampler(s) w F oo E <br /> rA x�a �M <br /> Sampling Fee: Pickup Fee: 5 a' a col a <br /> a o a''v ami 4 e M <br /> Compositor Setup Date:_/_/_ Time:_/_ r, z O a o Z ;z <br /> 0 <br /> Lab Number: STK 3-17919 0ci. y x N x x <br /> o F• fY� <br /> Samp Date Time 'n w°of c c =x ^ <br /> Location Description Sam ' o o <br /> Num " <br /> led Sampled <br /> P P F o, oo w O U <br /> 1 <br /> 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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