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WP0041961
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041961
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Entry Properties
Last modified
12/21/2021 6:40:53 PM
Creation date
12/8/2021 9:55:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041961
PE
4366
STREET_NUMBER
14000
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104302
ENTERED_DATE
4/23/2021 12:00:00 AM
SITE_LOCATION
14000 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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S ecial CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURALP www.fgUnc.com <br /> Analytical Chemists <br /> a Meld Copy (3 of 3) <br /> !I II <br /> 730:02/0612017 TEST DESCRIPTION - See Revu.c iJ lot'-ontainer.Pit•servative and Sampling information <br /> Cl' nt: San Joaquin County EHD K <br /> Ad1dress: San Joaquin Co. Environmental Health Dep <br /> 1. E <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. tz <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: &n <br /> q <br /> Contact Person: Rodney EstradaVt <br /> rn d <br /> Project Name: V ti- ` Ilu <br /> v: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> W ii F• 0 F <br /> Sampler(s) o V) z T O A <br /> C U * h P— O <br /> Sampling Fee: Pickup Fee: c <br /> a��i is`^ .d z Y d <br /> Compositor Setup Date:_/_/_ Time:_/_ z p o z c z w A <br /> x x x <br /> Lab Number: STK 3-17919 o rig p^, 9aU ^ h <br /> Samp Date Time o c z x <br /> Num Location Description Sampled Sampled E~ 0. m oq O US-1 c7 r u a w v <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Datc: Time: Relinquished Date: Time: <br /> - Received By: Date: Time: Received By: Date: Time: Received By: Datc: l in,c: <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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