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WP0042575
EnvironmentalHealth
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4 (STATE ROUTE 4)
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14210
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042575
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Entry Properties
Last modified
11/20/2024 9:09:43 AM
Creation date
8/23/2022 4:50:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042575
PE
4378
STREET_NUMBER
14210
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206-
APN
13112004
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
14210 W HWY 4
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> RAL Special www.fglinc.com <br /> ENVIRONMENTAL ACiRICULTU <br /> Analytical Chemists C storner Copy (2 of 3) <br /> -,;731:08 02 20-1 1 1 IJLNC Rill i I(Y\ ollldlllpr. Plc,el%dLlC 1116 Saulpho,' 111 till 11 WWII <br /> Client: San Joaquin County EHD <br /> Address: Sail Joaquin Co. Environmental Health Del) <br /> Water Quality Division 7; 71 <br /> Attn: Michael Kith -6 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith <br /> 4r, <br /> Project Name: V) <br /> % <br /> 63 <br /> Purchase Order Number: <br /> > <br /> W 'r <br /> Quote Number: <br /> Sampler(s) <br /> 0 <br /> Co <br /> Sampling Fee: Pickup Fee: < <br /> Compositor Setup Date: Time: <br /> E 0 <br /> C <br /> M <br /> Lab Number: STK 3-17919 0 6:� a M m > <br /> E.[J <br /> 0 <br /> ;amp Date Time r- V c E <br /> but <br /> Location Description 1� —M .E �ll Sampled Sampled 01 0 It C)= = � <br /> G DW Sub-3 <br /> Rental k>: Relinquished Date: Tilner Re1i11tJLli'J1Cd Date. Time Relinquished Date: Tit"Ic: <br /> Received Bv: Date: "Time: Rccci%ed 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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