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WP0042047
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042047
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Entry Properties
Last modified
12/22/2021 1:35:01 PM
Creation date
11/12/2021 10:08:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042047
PE
4378
STREET_NUMBER
16727
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
WAY
City
CLEMENTS
Zip
95240-
APN
01914021
ENTERED_DATE
5/18/2021 12:00:00 AM
SITE_LOCATION
16727 E BRANDT WAY
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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Nm- CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists <br /> Fieri Copy (3 of 3) <br /> �IIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII c 02 06;201 TEST DESCRIPltt tN - See Reverse „r.:'ner. PreserVittke and Sampling intixmation <br /> — r <br /> Client: San Joaquin County EHD i r <br /> Address San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm:Rodney Estrada I a' <br /> t$68 East Hazelton Ave. v <br /> Stockton,CA 95205 3 t, <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodr1ey Estrada d a <br /> Project Name: .� ��� �� 'i�� �;�; C7 Cn � <br /> Purchase Order Number: l t ,.�� �i= i1. '`�� > <br /> Quote Number: ST 20160309-01 W a F- <br /> Sampler(s) 5 z <br /> A <br /> w o <br /> ( C o v> n .a <br /> O O Gy QO O W <br /> C Q. 7 C4 N S.F <br /> Sampling Fee: Pickup Fee: � ;, o � � DN - n,� <br /> a _ a��i d a` Z a! F E <br /> Compositor Setup Date:_/_/_ Time:_/_ z O c o z z w Q <br /> o x <br /> Lab Number: STK 3-17919 0 ii a U n a <br /> 0 F II <br /> V <br /> Samp Location Description Date Time T o o N � <br /> Num Sampled Sampled ""NE. a m csa O U - C7 <br /> I G DW <br /> Remarks: Relinquished Date: I'ime: Relinquished Date: Time: Relinquished Date: lime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 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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