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WP0039288 (3)
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039288 (3)
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Entry Properties
Last modified
1/3/2022 1:17:58 PM
Creation date
12/27/2021 11:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039288
PE
4366
STREET_NUMBER
8596
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721012
ENTERED_DATE
2/12/2019 12:00:00 AM
SITE_LOCATION
8596 E SOUTH ORCHARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> FGL Special www.fgUnc.com <br /> -,ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Samplin.-information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person: QRodney Estrada <br /> Project Name: <br /> Purchase Order Number: k(,- <br /> Quote Number: ST 20160309-01 — a ¢ <br /> n <br /> W <br /> E W <br /> Sampler(s) E w z O <br /> Samp lino� Pickup ckup Fee: <br /> a. <br /> Compositor Setup Date: / / Time: / E n z p y <br /> E o Ca <br /> Lab Number: STI{ 3-17919 0 LA) a a b O <br /> FTS U <br /> Samp Date Time 'a- R <br /> Num Location Description Sampled Sampled FT I a° = w° O w a <br /> 0 Travel Blank 1- G LBW <br /> G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 21q(� i 2i I 10 <br /> Received By: Date: Time: Recei ed By: Date: Ti 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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