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WP0040409
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040409
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Entry Properties
Last modified
3/15/2023 4:47:56 PM
Creation date
2/16/2023 10:46:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040409
PE
4366
STREET_NUMBER
1352
Direction
N
STREET_NAME
BALDWIN
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10113074
ENTERED_DATE
12/19/2019 12:00:00 AM
SITE_LOCATION
1352 N BALDWIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (Z' of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD, <br /> NOdre— C9n tnp,minC., Fnrir..... (•,nrrd Health I)i— <br /> Water Quality Division <br /> Attn: Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a. <br /> Phone: (209)468-3444 Fa.x: <br /> Contact Person: Michael Kith <br /> i Y.�: <br /> Project Name: n� (' <br /> Purchase Order Number: <br /> > ¢ <br /> Quote Number: o U <br /> a�Ei � Q <br /> Sampler(s) o z > O <br /> U <br /> 0 <br /> Sampling Fee: Pickup Fee: E- <br /> ° o �' <br /> d y <br /> Compositor Setup Date: /_/_ Time: / E a z <br /> E ° <br /> Lab Number: STK 3-17919 0 ii o. co F <br /> p L ° m <br /> Sam Location Description Date Time „ 0. o E <br /> Num Sampled Sampled A w O v�v <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received 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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