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WP0040825
EnvironmentalHealth
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ENDOW
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040825
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Entry Properties
Last modified
2/2/2021 2:00:37 PM
Creation date
2/2/2021 11:21:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040825
PE
4366
STREET_NUMBER
9402
Direction
S
STREET_NAME
ENDOW
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19324063
ENTERED_DATE
5/18/2020 12:00:00 AM
SITE_LOCATION
9402 S ENDOW RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\fgarciaruiz
Tags
EHD - Public
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_= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL 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 a <br /> Atm: Rodney Estrada F <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> c7 w <br /> Contact Person: Rodney Estrada A d <br /> Project Name: Li 2 nrt%'`� �� <br /> Purchase Order Number: Ck ; a w <br /> Quote Number: ST 20160309-0100 <br /> //yy E w z y 0 A <br /> Sampler(s) i6L t ° & h O a <br /> U .2 a3x <br /> Sampling Fee: Pickup Fee: S aCq <br /> -as`" vz �; m <br /> Compositor Setup Date: / / Time:_/_ z O [ o Z c z w A F= <br /> Lab Number: STK 3-17919 0 C/) ii a W.. U x N <br /> q x x <br /> ° o ' H 'G Gi a F II a a <br /> Samp Location Description Date Time U a o IV <br /> Num Sampled Sampled F p W pq O U-- C7 cu P. <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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