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WP0040785
EnvironmentalHealth
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12 (STATE ROUTE 12)
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26606
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040785
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Entry Properties
Last modified
11/19/2024 3:48:25 PM
Creation date
11/12/2021 10:07:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040785
PE
4366
STREET_NUMBER
26606
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
Zip
95227-
APN
02322005
ENTERED_DATE
5/4/2020 12:00:00 AM
SITE_LOCATION
26606 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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= <br /> Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> p www rgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII — 3;7`)0:02/06/2017 TEST DESCRIPTION , _ Ste\ci ' Ie tiff CunG°iiner. Preser\a i e and Sampling infunnation <br /> Client: San Joaquin County EHD <br /> i <br /> Address: San Joaquin Co. Envirqnmental Health 1),-!, ! <br /> i <br /> Water Quality Division 1 a I <br /> Atm:Rodney Estrada I y e <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 g,, <br /> Phone: (209)468-0331 Fax: <br /> C7 A <br /> Contact Person: Rodney Estrada rn d P <br /> Project Name: ( c7 1� <br /> Purchase Order Number: 3 <br /> 0o LU <br /> Quote Number: ST 20160309-01 a w a <br /> 00 <br /> A <br /> Sampler(s) U & 0 a O <br /> * A g N x <br /> Sampling Fee: Pickup Fee: <br /> a o �'v a^�i bz <br /> Compositor Setup Date:_/_/_ Time:_/_ (E Z O c o z z w co E <br /> A t- <br /> Lab Number: STK 3-17919 0C C4 n. C's <br /> x N <br /> v 0 � <br /> Samp Location Description Date Time T o o N lu� a <br /> Num Sampled Sampled F 0, Fq M O U <br /> 1 G DW <br /> EF- <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Datc: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Timr: <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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