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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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Special CHAIN OF CUSTODY <br /> p www.fgUnc.com <br /> Field Copy Q 4 3) i <br /> x <br /> 35731:08/02/2021 3 .EST DESCRIPTION See Re\er"i ride for Container. Pre�enati c end Saint ng information <br /> Client: San Joaq ' ounty EHD <br /> � wt <br /> Address: Sati Joaquin Environmental Health Dep I ' <br /> Wader Quali Division 0. '• t <br /> Att4:Micha Kith 3 x ( r <br /> 18e8 East H'-,elton Ave. <br /> Stockton, 95205 a <br /> 1 a <br /> Phone: (209)468-3444 Fax: tj W <br /> ew � <br /> Contact Person: Michael Kith <br /> Project Name: <br /> Purchase Order Number: A-lA ihv LtF ¢ O <br /> y a <br /> Quote Number: <br /> Sampler(s) o rn Z T O <br /> co p0, 'E <br /> Sampling Fee: Pickup Fee: E d o <br /> Compositor Setup Date: / / Time: / o Z 0 x c w <br /> --- -- v� E <br /> 0 <br /> n <br /> Lab Number: STK 3-17919 ,,..,0 wcd ii 'a. � M> <br /> Samp Location Description Date Time v T o a M 0 0 <br /> Num Sampled Sampled k- a w as O rn-e <br /> G DW Sub-3 <br /> R,e .uk,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Tinto: <br /> 7�f%Y �-•e- <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Cort orate 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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