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WP0041122
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041122
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Entry Properties
Last modified
2/2/2021 1:44:57 PM
Creation date
2/2/2021 11:06:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041122
PE
4370
STREET_NUMBER
5882
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00519013
ENTERED_DATE
8/19/2020 12:00:00 AM
SITE_LOCATION
5882 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
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== CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists 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 x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 o <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada <br /> Project Name: '> ^` ( i t7 �, cc <br /> Purchase Order Number: a <br /> Quote Number: ST 20160309-01 N `" <br /> Sampler(s) 0 w Z > O <br /> U * rn <br /> en A°. O h O <br /> Sampling Fee: Pickup Fee: 5 o a <br /> G <br /> Compositor Setup Date:_/_/ Time:_/_ z O A <br /> ii <br /> Lab Number: STK 3-17919 0 i G�a �a <br /> �O <br /> 0 0 u <br /> Samp Date Time �s n '� ¢c <br /> Num Location Description Sampled Sampled E~ a� I= Mo W <br /> I ravel 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 /> CorRoorate 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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