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WP0041603
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041603
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Entry Properties
Last modified
12/21/2021 2:49:03 PM
Creation date
12/8/2021 9:53:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041603
PE
4366
STREET_NUMBER
25753
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02103033
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
25753 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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-- CHAIN OF CUSTODY <br /> ==== RAL Special www.ffUnc.cENVIRONMENTAL—,— AGRICULTUom <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> �JllI1llIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII IIIIIIII i <br /> 35731:08/02/'2021 TFST DESC 1' ' See Reverse side for Container, Preservative and Sampling informat wn <br /> Client: San Joaquin County EHII � <br /> Address: San Joaquin Co.Environmental Hept Dep k� <br /> Water Quality Division ; <br /> Attn: Michael Kith & 3 oaG <br /> 1868 East Hazelton Ave. 1C 3 a <br /> Stockton,CA 95205 CU <br /> f c �' <br /> Phone: (209)468-3444 Fax: ua a <br /> Contact Person: Michael Kith <br /> ,p Vu <br /> Project Name: <br /> Purchase Order Number: > a C <br /> Quote Number: ¢ p- <br /> Sampler(s) E w z y A <br /> o rn > O <br /> �\ U <br /> 4 w' 11GUf i�cs ,� <br /> a <br /> o p Ea o <br /> Sampling Fee: Pickup Fee: S <br /> Compositor Setup Date: /_/_ Time:_/_ E z O a w <br /> rn E o w <br /> Lab Number: STK �L� 3-17919 0 rn a n a <br /> Samp Date Time ; <br /> Num Location Description Sampled Sampled H a° w oa O <br /> -41 <br /> I (/Mkj� o , j 1.0 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished / ate: Time: Relinquished Date: Time: <br /> �of'Iz ai 1.70-6 <br /> Received By: Date: Time: Received By: Time: Received By: Date: Time: <br /> - /Dl��`ate: '7 <br /> Corporate Offices&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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