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WP0040665
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040665
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Entry Properties
Last modified
12/21/2021 6:30:36 PM
Creation date
11/12/2021 10:06:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040665
PE
4366
STREET_NUMBER
9467
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731030
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
9467 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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-� CHMN OF CUSTODY <br /> Special www.fgmc.com <br /> Analytical Chemists Field Copy (3 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 <br /> Atm: Michael Kith 3 0. <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith ;, : E <br /> 7 <br /> Project Name: 4 v°: <br /> Purchase Order Number: <br /> w t N O <br /> Quote Number: <br /> cc <br /> Sampler(s) o w Z T C <br /> Ca <br /> :a a. v <br /> c � <br /> Sampling Fee: Pickup Fee: <br /> c $ c z a <br /> Compositor Setup Date: / / Time: c z O a w <br /> V) c <br /> 0 <br /> Lab Number: STK 3-17919 0 v) ii fl > <br /> Samp Date Time C b E <br /> Num Location Description Sampled Sampled :u� F a m co O c% <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Dare: 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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