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WP0041140
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041140
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Last modified
6/7/2021 11:48:06 AM
Creation date
6/7/2021 11:20:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0041140
PE
4380
STREET_NUMBER
15015
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02108011
ENTERED_DATE
8/24/2020 12:00:00 AM
SITE_LOCATION
15015 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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= CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> Field Copy (3 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 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. r <br /> y <br /> Stockton,CA 95205 3 =° <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Q 04 y W <br /> Contact Person: Rodney Estrada <br /> C7 o <br /> Project Name: Wv, , V) M <br /> Purchase Order Number: <br /> v w <br /> Quote Number: ST 20160309-01 _ <br /> Sampler(s) o z > O <br /> a c <br /> 0 <br /> Sampling Fee: Pickup Fee: �L ° ; O <br /> a. <br /> y o y <br /> Compositor Setup Date: / / Time: / E Q, z <br /> Lab Number: STK 3-17919 E i a <br /> � O <br /> Sall 1) Date Time nu <br /> Num Location Description Sampled Sampled a W w O taL <br /> 0 Travel Blank G LBW 4 <br /> l 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 /> Coroorate 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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