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WP0041636
EnvironmentalHealth
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CHERRY GLEN
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21711
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041636
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Entry Properties
Last modified
6/30/2022 11:54:46 AM
Creation date
6/30/2022 11:53:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041636
PE
4380
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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�L <br />ENVIRONMENTAL =-- AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />IIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIII <br />35130:02/06/2017 <br />II:S I UI!SCIl[I'TION See Reverse side fi - C'u4ttainer, Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Healdi Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />IU <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />w <br />x <br />Contact Person: Rodney Estrada <br />Project Name: <br />Purchase Order Number: <br />Quote Number: ST 20160309-0100 <br />o <br />5 <br />O <br />o <br />F <br />Samplers) <br />C-1 <br />a. <br />.a <br />Y'o <br />Sampling Fee: Pickup Fee: <br />5 <br />; <br />°" C04O <br />Q <br />Compositor Setup Date: / / Time: / <br />--- -- <br />c <br />�, <br />8 <br />z <br />p <br />. a <br />0� <br />= ZR <br />c� <br />O <br />5zCID <br />a <br />z <br />E <br />Lab Number: STK 3-17919 <br />0 <br />�s <br />o <br />iia <br />T <br />'= <br />60. <br />a <br />2 <br />o <br />fl <br />lamp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />". <br />°M <br />O <br />°o <br />U <br />1 <br />G <br />DW <br />1 <br />1,1.1 <br />Remarks: <br />Relinquished Delo: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />
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