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WP0042158
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042158
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Entry Properties
Last modified
3/18/2025 9:01:46 AM
Creation date
2/17/2023 4:07:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042158
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
20555
Direction
N
STREET_NAME
BUCK
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721028
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
20555 N BUCK RD ACAMPO 95220-
Tags
EHD - Public
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- -= CHmri OF CUSTODY <br /> _ , Special wwwiRICULTURAL .fgline.eom <br /> ENVIRONMENTALAna!ytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. ' y <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada <br /> 5L <br /> Project Name: <br /> Purchase Order Number: � � V w 3 a _ pj <br /> Quote Number: ST 20160309-01 V m ¢ <br /> rx N N <br /> N <br /> n W a E H0 F- <br /> 00 <br /> Q <br /> Sampler(s) o Z T 5 a ,a <br /> 14 <br /> A - U # y N � <br /> VI <br /> Sampling Fee: Pickup Fee: C" ° ¢ <br /> G r N M <br /> Compositor Setup Date: _/ /_ Time: / E a z <br /> v E �� b cz <br /> / c <br /> Lab Number: STK J �� L� 3-17919 `c La 0. 0. a v o a <br /> b o v F. r4 L - F II- <br /> ;amp Date Time y o b E y o v <br /> Num a v y <br /> Location Description Sampled Sampled <br /> pled <br /> I <br /> 1 G DW <br /> 3emarks: 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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