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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
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> . , Special: www.fgUnc.com <br /> Laboratory Copy G of 3) <br /> I >� <br /> 1,I. <br /> su:u2 <br /> 01),201 1.11 ,t KI I lu_�. �,, K ,.i„ ",�. ,,,� t .��,.������. I i��u�.0 v. ,,��,� J,uni�uu_ gni,-nuauyxt <br /> 'liew San Joaquin Count} EI-ID <br /> 4ddress: San Joaquin Co. Environmual Health Dep 5 <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 s <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> ?hone: (209)468-0331 Fax: * x <br /> -ontact Person: Rodney Estrada O <br /> 'roject Name: IJ ice, t'"1 1 t CA w 2 'o <br /> ?urchase Order Number: q 'rid U w <br /> )uote Number: ST 20160309-01 <br /> 0 o EF- <br /> Sampler(s) o W z � 00 Ca <br /> * y vi X p, p <br /> o p a Q" <br /> Sampling Fee: Pickup Fee: ° `n ? x F <br /> M y <br /> Compositor Setup Date: ! / Time: / E a z O ti °—' b G O Z E <br /> n rn E ov°i oz cz ivy Q F <br /> Lab Number: STK V 3-17919 0 � 5 n - U x <br /> 0 o L F C4 - op ;?a F II o a <br /> .amp Date Time s a m y =o c o b x <br /> Num Location Description Sampled Sampled " ' ° d �' °rA <br /> 0 C) 6 a " v <br /> - ,ap 1- ` P P F- a m w 0 U— C7 N Z <br /> 1 1ti�(/�fvG .L 1� : l? G DW I 1,1,1 11.i7 <br /> temarts: Relin ui hed Date: Time: Reli d I Date: Time: Relinquished Date: Time: <br /> Received By: ate: Time: Received ateTim Received By: 2 Date: Time: <br /> rb �I-IW I- ✓I�I�� I <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 \vDt 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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