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SR0076831
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076831
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Entry Properties
Last modified
9/13/2019 9:52:50 AM
Creation date
12/2/2017 10:36:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076831
PE
4380
STREET_NUMBER
2971
Direction
E
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17911021
ENTERED_DATE
2/23/2017 12:00:00 AM
SITE_LOCATION
2971 E LOOMIS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\L\LOOMIS\2971\SR0076831.PDF
QuestysFileName
SR0076831
QuestysRecordID
3342322
QuestysRecordType
12
Tags
EHD - Public
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CIHmri OF CUSTODY <br /> - <br /> AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> i ill I 1h ill! 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada L Q <br /> C7 W p o <br /> Project Name: <br /> Purchase Order Number: w 3 w <br /> Quote Number: ST 20160309-01 <br /> E o F= <br /> Sampler(s) v w Z a Q <br /> o <br /> Sampling Fee: Pickup Fee: 5 v °'r,4 a� <br /> c M y <br /> Compositor Setup Date: / / Time: / E a Z O °�' y Z <br /> -- E c c z <br /> a y U c <br /> r o on <br /> Lab Number: STK 3-17919 0 w ii a y a a a <br /> Samp Date Time � o O = c E v x <br /> Location Description <br /> Num led <br /> P P Sam Sampled " ' 0 ° ` " ° <br /> F a cC 2l O <br /> 1 G DW <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: 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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