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WP0042095
EnvironmentalHealth
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BRITTANY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042095
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Entry Properties
Last modified
3/2/2022 4:50:39 PM
Creation date
2/23/2022 1:24:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042095
PE
4366
STREET_NUMBER
10283
Direction
E
STREET_NAME
BRITTANY
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00707049
ENTERED_DATE
5/27/2021 12:00:00 AM
SITE_LOCATION
10283 E BRITTANY LN
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 /> ENVIRONMENTAL -- - Special www.fgUnc.com <br /> AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> IIIIIIII '�II IIIIIIIIIIIIII'�I I�IIIIII III II 35731:08/02/2021 TEST DESCRIPTIO'' S:�e Rexerse side tut Cuntainet. Prescnamc and Sampling utfunnauun <br /> Client: San Joaquin County EHD I , <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division :mi <br /> Attn: Michael Kith 3 <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith U_ Q <br /> Project Name: LR7e <br /> Purchase Order Number: �t U > <br /> Quote Number: NG� <br /> E <br /> Sampler(s) o w z q <br /> U ?? <br /> It L't� ti * b x <br /> Ca v <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / / Time: o z p a n w <br /> Lab Number: STK 3-17919 0 % E <br /> Samp Location Description tion Date Time u a D E <br /> Num Sampled Sampled <br /> 1 �t'l-7 G DW Sub-3 <br /> I <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> tr�,� <br /> Received By: Date: Time: ReB Date: Time: Received By: Date: Time: <br /> qL- r is zZ 150 c ed(� i I,b li'l 1 <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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