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WP0040785
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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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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CHAIN OF CUSTODY <br /> -- <br /> RAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIf IIIIIIIIIIIIIIIIIIIIIIIIII 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 <br /> Atm: Michael Kith ;, x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 �' <br /> a <br /> Phone: (209)468-3444 Fax: <br /> � U 3 <br /> Contact Person: Michael Kith F. <br /> � x <br /> Project Name: b T <br /> Purchase Order Number: 3 <br /> U w n O <br /> a� W Q r4 <br /> Quote Number: <br /> rx <br /> E F' m <br /> q <br /> Sampler(s) z <br /> V } y V� C4 <br /> aSampSO- <br /> Sampling <br /> ling Fee: Pickup Fee: <br /> c C4 a <br /> Compositor Setup Date:_/_/_ Time: E z O aIV <br /> W <br /> O <br /> Lab Number: STK 3-17919 0 a a W> <br /> lamp Date Time $ E <br /> NunNuin Location Description Sampled Sampled '� i v <br /> I G DW Sub-3 <br /> Remarks: Relinquished llare: Gime: Relinquished Date: Time: Relinquished Date: Iitn <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: Timc: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Undo 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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