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WP0040788
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040788
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Entry Properties
Last modified
3/4/2021 1:15:33 PM
Creation date
3/4/2021 12:25:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040788
PE
4366
STREET_NUMBER
25275
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540006
ENTERED_DATE
5/6/2020 12:00:00 AM
SITE_LOCATION
25275 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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IM <br /> CHAIN OF CUSTODY <br /> • -- 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 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 —° <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada p O ¢ 2 <br /> Project Name: Mco <br /> Purchase Order Number: CaA,� C\5ZP v > � � w uW <br /> Quote Number: ST 20160309-01 a Q V) a <br /> A. W i% V 000 Q <br /> Sampler(s) o Cz T O .a <br /> ,L U * a a O <br /> 6 ¢O O W <br /> Sampling Fee: Pickup Fee: _ a 21.cq x F� <br /> c v o m .!.to a <br /> Compositor Setup Date: / / Time: / E Q z O o _ z ;, -„ -- <br /> E g� o c z w C1 �= <br /> Lab Number: STK 3-17919 0 iE a U x ti x x <br /> a 0 E~ Ix oa <br /> Samp Location Description Date Time $ o '� o N c 0 °a <br /> Num Sampled Sampled F a M M O U C7 cv h <br /> 1 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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