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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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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chernists <br /> Customer Copy (2 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 a <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 g <br /> Stockton,CA 95205 —° <br /> a. <br /> rx <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada �\ Q Q i <br /> Project Name: <br /> �1 r4 lu <br /> w c <br /> Purchase Order Number: �.,AG�-e {D� � 3 <br /> W ¢ a <br /> Quote Number: ST 20160309-01 N x <br /> 0 <br /> a E <br /> Sampler(s) o vW z > O <br /> n C p C <br /> o O <br /> Sampling Fee: Pickup Fee: <br /> EE o <br /> „ a U <br /> Compositor Setup Date: /_/ Time: /_ a z O <br /> E o UQ)- Q <br /> Lab Number: STK 3-17919 0p <br /> �O o� <br /> Samp Location Description Date Time L o B ¢�E <br /> Num Sampled Sampled F. a W fit 0 w v <br /> 0 Travel Blank G LBW 4 <br /> I G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recety 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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