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WP0041148
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041148
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Last modified
6/7/2021 11:50:22 AM
Creation date
6/7/2021 11:30:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0041148
PE
4380
STREET_NUMBER
2911
STREET_NAME
GUERNSEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205-
APN
15713028
ENTERED_DATE
8/25/2020 12:00:00 AM
SITE_LOCATION
2911 GUERNSEY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL'M AGRICULTUKAL Special www.fgunc.com <br /> Analytical Chemists Field Copy (3 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 /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> C? Lc1 <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: ' ' c7 Cn in <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> A W a ar�i E 0 <br /> Samplers) . Z > x O <br /> O <br /> a <br /> QO `D W <br /> Sampling Fee: Pickup Fee: 5 c o ? ti c <br /> Compositor Setup Date:_/ /_ Time:_/_ E —°'n Z p 0 u z Z E <br /> 5x <br /> Lab Number: STK 3-17919 0 <br /> Samp Date Time � go 2 0 5 b x v <br /> Num Location Description Sampled Sampled " ' S �' ° 0 <br /> p P <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B): Dare: 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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