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WP0041197
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041197
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Entry Properties
Last modified
5/4/2022 2:23:02 PM
Creation date
5/4/2022 2:04:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041197
PE
4366
STREET_NUMBER
24467
Direction
N
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00740032
ENTERED_DATE
9/4/2020 12:00:00 AM
SITE_LOCATION
24467 N JAHANT 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 />' Special <br />www.fgui <br />c.com <br />Analytical Chemists <br />Customer <br />Copy <br />(2 <br />of 3) <br />T77 <br />35 30.02 00:OI si 1)Lm Itll <br />��'II IIIj <br />IIII. IIIIII I <br />-iii' <br />MK, <br />IIIIIIIII I'll, IIII _ - - <br />� <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental -lealth Dep <br />Water Quality Division s <br />Atm: Rodney Estrada 3 a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 =' <br />3 <br />Phone: (209)468-0331 Fax: w <br />Contact Person: Rodney Estrada <br />yu�c�n� ilk W Y <br />Project Name: <br />Purchase Order Number: (—foN\ r f uS <br />a a <br />Quote Number: ST 20160309-01 <br />p W a ayEi F 000 F <br />Sampler(s) o z > O A <br />vw) <br />0 o W <br />a' <br />Sampling Fee: Pickup Fee: 5 ; 0- <br />—o x.v <br />0 a_�i`� ism b g? <br />Compositor Setup Date: _/_/_ Time: _/_ a z O �, z � z = ;F <br />o o <br />o <br />Lab Number: STK 3-17919 0 a C U e° 9 x w v A <br />_ <br />Samp Date Time a w ' o [ o x <br />Num Location Description Sam pled Sam led " '' O M o °' a <br />p H a M M0 U� C7N <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Dare: Time: <br />Goroorate Offices & Laboratoty 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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