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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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ML <br /> Special <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 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 a <br /> Atm:Michael Kith a <br /> 1868 East Hazelton Ave. ro <br /> Stockton,CA 95205 3 fl <br /> Phone: (209)468-3444 Fax: <br /> a <br /> Contact Person: Michael Kith (� A Q <br /> Project Name: q S� � � Q 'd B) w <br /> Purchase Order Number: zL O <br /> Quote Number. ACA Ow <br /> 8 <br /> Sampler(s) o vwi z > OCn <br /> Q <br /> rr>,n rn 5 L' C 'L A i O -- <br /> o �p <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date:_/ /_ Time: / E o z O v w <br /> Lab Number: STK 3-17919 o IC7 w T eo> <br /> C <br /> Samp Date Time -S <br /> Num Location Description Sampled Sampled H o pa cj p <br /> (f1 ( 1 <br /> 11:00 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date- Time: Relinquished Date: Time: <br /> q/�' &M 7db <br /> ceived By: Date: Time: Received By: / Date: Time: Received By: Date: Time: <br /> !qJatA 31-1 /70 <br /> 7 4-w <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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