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WP0042627
EnvironmentalHealth
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BRITTANY
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9800
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042627
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Entry Properties
Last modified
7/20/2022 1:30:05 PM
Creation date
6/13/2022 7:53:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042627
PE
4366
STREET_NUMBER
9800
Direction
E
STREET_NAME
BRITTANY
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00707039
ENTERED_DATE
10/7/2021 12:00:00 AM
SITE_LOCATION
9800 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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-ALSHAM OF CUSTODY <br /> 4; Special k t www.fgUnc.com <br /> Analytical Clictuists <br /> J.'aporatory Copy (1 of 3) <br />' 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Containir,Preservative and Sampling information <br /> 7lient: San Joaquin County EHD <br /> 'lddress: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division ' 3 a • <br /> Attn:Rodney Estrada + <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> ?hone: (209)468-0331 Fax: <br /> �ontact Person: Rodney Estrada <br /> Lu <br /> 4,-444 <br /> ?roject Name: 00 <br /> ?urchase Order Number: 0 � ^ <br /> �ca,,a,10 L 2 <br /> Zuote Number: ST 201603 9-Ol l � N <br /> .. E o H <br /> E a u � oo t7 <br /> Sampler(s) vi z � a <br /> �, O 0 <br /> 0 <br /> ^ c a Q 0 �$ w <br /> Sampling Fee: Pickup Fee: 2 c j <br /> $-N M <br /> Compositor Setup Date: I J Time: I E z° 0 c La 0 z A <br /> a c , c <br /> x <br /> Lab Number: STK 3-17919 4a 0 O a a �, 0. a, <br /> y� <br /> 0 E� oG L 0�=- E- p <br /> ;amp Date Time !,, E c o x <br /> Location Description u >, o Cd cc'S o C4 u,n c. <br /> Num Sampled Sampled 2 k- Q. m M O U-� O N is.�: <br /> 1IkA; G DW <br /> •�0 <br /> Zemarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> -I;z A& 4w;u' Irivil/ (6f�, `515117`1 MOD 6 w �(4� 91347 <br /> Received B Time: Received BL : Date: Time: Received By: Date: Time: <br /> 15/;/;i �1,i, 51� v, t la? : �� -a' q�i <br /> !1 <br /> Coruorate Offices&LaboratoryOffice&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)5254172/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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