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WP0040664
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040664
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Entry Properties
Last modified
5/5/2022 8:25:12 AM
Creation date
11/12/2021 10:06:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040664
PE
4366
STREET_NUMBER
9455
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731029
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
9455 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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= CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> VIRDNMENTAL .. AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> IIII�IIIiII�IIIIIIIIIIIIIIIII�IIIllllll 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin Count} EHD i <br /> Address: San Joaquin Co. Environmental Health Dep t <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> * <br /> Phone: (209)468-0331 Fax: 3 <br /> Contact Person: Rodney Estrada <br /> � x <br /> Project Name: 41 V) r° <br /> Purchase Order Number: �k},� <br /> Quote Number: ST 20160309-01 <br /> E o F- <br /> Sampler(s) E w z � <br /> 0" °O A <br /> U * v 0. O <br /> ,2 <br /> ¢o w <br /> Sampling Fee: Pickup Fee: <br /> C N ai <br /> Compositor Setup Date:_/ / Time: / E Q z p = O y z E <br /> o a 'oz Cz <br /> Lab Number: STK 3-17919 0a s a a <br /> b 5 <br /> Samp Date Time 7Ea <br /> H 15 f " ^f <br /> Location Description ooo <br /> Num Sampled Sampled M U O <br /> N <br /> 1 G� 1p )p• G DW O 1 1.1,1 106l Q�ffijz( OSS <br /> Remarks: Relinquished Date: Time: R ished Date: Time: Relinquished Date: Time: <br /> QfZdZ wl 6, a� a1 f7d� 2� oZ <br /> Received By: Date: Time: Received By: Date: Tim cetved By- Date: Time: <br /> (33 6 IX /0D I � U L <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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