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WP0042157
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042157
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Entry Properties
Last modified
3/18/2025 9:01:36 AM
Creation date
2/13/2023 1:54:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042157
PE
4380 - PUMP PERMIT - NEW
STREET_NUMBER
20555
Direction
N
STREET_NAME
BUCK
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721028
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
20555 N BUCK RD ACAMPO 95220-
Tags
EHD - Public
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CtWN OF CUSTODY <br /> ., Special wumfgUnc.eom <br /> Analytical C.11cmists <br /> Laboratory Copy (1 of 3) : <br /> 35730:02/06/2017 TEST DESCRIPTION - See ReveVse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County-EHD t <br /> Address: San Joaquin Co.Environmental Health Dep , <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 1�n��l ✓` 3 <br /> Phone: (209)468-0331 Fax:W W _ a <br /> Contact Person: Rodney Estrada Q .. <br /> Project Name: <br /> LQ � <br /> Purchase Order Number: > <br /> Quote Number: ST 20160309-01 <br /> a. .. E F; o E� <br /> Sampler(s) u 0 a O <br /> a a ¢O ,o w <br /> Sampling Fee: Pickup Fee: a: v a r4 <br /> Compositor Setup Date: / 1 Time: / in. Z O '—_'z i O <br /> co E v� U x u. <br /> Lab Number: STKM. I 3-17919in <br /> w <br /> Samp Date Time .5 a o E <br /> Num Location Description <br /> vSampled Sam. le1d O$ v0 ON <br /> I <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Da e: Time: We_Ii * Date:-4, <br /> e: <br /> ti <br /> Received By: Date: . Time: Receive B Date: Time:J c ived 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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