My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0043666
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
F
>
FOREST LAKE
>
3522
>
4300 - Water Well Program
>
WP0043666
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/15/2022 2:34:24 PM
Creation date
11/15/2022 2:16:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043666
PE
4370
STREET_NUMBER
3522
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514123
ENTERED_DATE
8/23/2022 12:00:00 AM
SITE_LOCATION
3522 E FOREST LAKE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\lsauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
61
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CHAIN OF CUSTODY <br /> tENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Coy (1 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative ang Sampling information <br /> Client: flan Joaquin County EHD ,1 <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Atm:Michael Kith a <br /> 1868 Fast Hazelton Ave. = v <br /> Stockton,CA 95205 3 <br /> o. <br /> Phone: (209)468-3444 Fax: <br /> Contact Perron: Michael Kith <br /> Project Name: 135-;!? <br /> Purchase Order Number. -,, A•n a LI.,A— LfS'2 yV U_ a 0 <br /> Quote Number: <br /> 2 <br /> Sampler(s) E <br /> 0. O N o <br /> Sampling Fee: Pickup Fee: .g '^ <br /> y c as o m Q <br /> Compositor Setup Date:_/_/_ Time:_/_ E c z p o: a <br /> Jab Number: STK C;4V--15/' 3-17919 <br /> a `o v F yv.0 m C7 <br /> Samp Date Time Z -Z v 0-0 <br /> Num Location Description Sampled Sampled a m m O rn e <br /> G" DW Sub-3 <br /> Remarks: Relinquished�/// /Date: Time: ished ! Date: Time: Relinquished Dale: Time: <br /> 002) <br /> 1�csiyed By: Date: Time: Received By: /,q/_ ate: Time: Received By: Date: Time: <br /> it tea /�) � L 17 ' <br /> 0 <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 /> Y 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)7832912 Fax:(559)734-8435 <br />
The URL can be used to link to this page
Your browser does not support the video tag.