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WP0040051
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040051
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Entry Properties
Last modified
11/2/2020 10:42:49 AM
Creation date
11/2/2020 10:22:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040051
PE
4366
STREET_NUMBER
11914
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237-
APN
05118045
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
11914 E BRANDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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I <br /> - -_ CHAiri OF CUSTODY <br /> • • — Special www.fgUnc.com <br /> Analytical Chernists 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 3 a <br /> Attn: Rodney Estrada e <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> CL <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: w ¢ a <br /> Quote Number: ST 20160309-01 <br /> E o E- <br /> Sampler(s) o w z T Q <br /> ; ¢M 0 x <br /> w <br /> Sampling Fee: Pickup Fee: c a° !' a x F <br /> Compositor Setup Date: / / Time: / E z O x o z [ w Ca F <br /> 0 <br /> Lab Number: STK 3-17919 0 w 5 ¢ va a o Q <br /> Samp Location Description Date Time n o n o N l U <br /> Num Sampled Sampled u a m x1 O U-- 0 rq <br /> l 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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