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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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Cion of CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc-com <br /> Analytical Chemists Field Copy (3 of 3) <br /> II�IIIIII��IIIIIII�IIIIIIIIII11111111111111111111INIIII 35730:02/06/2017 TEST DESCRIPTION, See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD Q <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. ro <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: a: <br /> C7 u7 <br /> Contact Person: Rodney Estrada rA <br /> ¢ E <br /> a <br /> Project Name: w <br /> Purchase Order Number: U wCAuj <br /> Quote Number: ST 20160309-01 a w a F= o E- <br /> Sampler(s) o w z T O A <br /> x <br /> oO F� �0 W <br /> Sampling Fee: Pickup Fee: 5 a' ; o— p• o <br /> a y <br /> Compositor Setup Date: /_/ Time:_/ �, z O d a :o z c _ <br /> Lab Number: STK 3-17919 0 ' M U x x <br /> o > a <br /> O L <br /> Samp Location Description Date Time a CO a <br /> Num Sampled Sampled H a <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished DaIC: Timc. <br /> Received By: Date: I'inte: Received By: Date: Time: Received By: Date: Ting: <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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