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WP0042692
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COLLIER
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18437
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042692
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Entry Properties
Last modified
10/11/2022 10:09:11 AM
Creation date
3/16/2022 9:52:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042692
PE
4366
STREET_NUMBER
18437
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02115002
ENTERED_DATE
10/22/2021 12:00:00 AM
SITE_LOCATION
18437 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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Ailk <br /> Crlmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer 1 ' (2 of 3) <br /> 111111111111111111 will 11111111111111111111111111111111 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservati anal Sampling information <br /> Client: Joaquin County EHD <br /> Address: Joaquin Co.Environmental Health Dep <br /> Slier Quality Division <br /> Adn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada d <br /> Project Name: 1'.?t t �13j C•<,1/! C7GO <br /> Purchase Order Number: �/� '; f,- Owl w <br /> quote Number: ST 20160309-01 N W d `" <br /> o F <br /> 00 <br /> Sampler(s) o vWi z T O A <br /> o O co ¢O W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: / — z p e a o z z y Q F <br /> o <br /> Lab Number: STK 3-17919 0 W 5 a a V M x - x x <br /> IUta <br /> rx w° <br /> ime 6 -D -Zu „aE aiam Date TF II „c 7T) <br /> Location Description 5 � s o r- <br /> Num Sampled Sampled o W O U N+ C7 N _: fi z <br /> 1 G DW 1 1,1.1 <br /> 2earks: Relinquished Date: Time: Relinquished Date: Time: Relinquished <br /> mDate: fimc: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Comorate 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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