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SR0075830
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4200/4300 - Liquid Waste/Water Well Permits
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SR0075830
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Entry Properties
Last modified
3/23/2021 11:38:43 AM
Creation date
3/23/2021 11:22:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0075830
PE
4366
STREET_NUMBER
16510
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
12920015
ENTERED_DATE
9/20/2016 12:00:00 AM
SITE_LOCATION
16510 BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL- Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> x <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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada T ro <br /> ^t TQ <br /> Project Name: ,s (� Cf Ld' SA K a r% <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y <br /> g E E o F= <br /> Samplers) / <br /> PASO S O V cn O a Q <br /> 1 N � <br /> Sampling Fee: Pickup Fee: <br /> Time: <br /> Compositor Setup Date: / / / E —°'r, z p ,, =' p z E <br /> Cv°i oz cz � Q E- <br /> 0 <br /> co <br /> Lab Number: STK 3-17919 0 a o U <br /> E u�Sam Date Tme o <br /> Location Description 4 oo 0 ov <br /> Num Sampled Sampled N <br /> G <br /> DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> /��o <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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