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WP0041895
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041895
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Entry Properties
Last modified
12/21/2021 6:06:39 PM
Creation date
12/8/2021 9:54:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041895
PE
4366
STREET_NUMBER
5823
STREET_NAME
FAIRLANE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00527015
ENTERED_DATE
4/2/2021 12:00:00 AM
SITE_LOCATION
5823 FAIRLANE 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 /> Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Field Copy'�3 of 3' <br /> Analytical Chemists <br /> Sd-al fin- information <br /> TEST DESCRIPTION See Re\ci,- ide for Contain,:- I <br /> 35730:02'00 20'k,` reseAtive and n <br /> Client-OV 'an Joaq"County EHD <br /> X <br /> AddreiA San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm:RodneyEstrada <br /> 1868 East Haf'elton Ave. <br /> Stockton,CA' 95205 <br /> Phone: (209)468-0331 Fax: <br /> Cn <br /> Contact Person: Rodney Estrada j! <br /> 0 <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a w a x <br /> E <br /> 00 <br /> Sampler(s) rz '11 z <br /> U <br /> Sampling Fee: Pickup Fee: c <br /> 7 0 <br /> 1 <br /> 04 0 w`� <br /> Compositor Setup Date: Time: E z 0 0 = Z 0 <br /> al. z <br /> V) U x2 <br /> Lab Number: STK 3-17919 <br /> "o Ell <br /> 42 wr E <br /> amp Location Description Date Time 6 60 <br /> Sampled " 1 0 U <br /> Nurn Sampled ;5. M 0 0 C4 <br /> I G DW <br /> ......... <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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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