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WP0042885
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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18853
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042885
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Entry Properties
Last modified
11/19/2024 1:59:21 PM
Creation date
4/3/2023 2:59:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042885
PE
4366
STREET_NUMBER
18853
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220-
APN
01322062
ENTERED_DATE
1/10/2022 12:00:00 AM
SITE_LOCATION
18853 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special wwt�i.'gifnc.com <br /> Analytical Clhcmisls <br /> X. 1- horatGry'Copy (1 of 3) <br /> s s <br /> 11II111lllllillli1111�11111111111111i111111111111111illlll' 357 , �l2/06/2017 'f EST DESCRIPTION - See Reverse side for Cont ?^er,Preservative and Sampling information <br /> 'tient. San Joaquin County EUD <s <br /> kddress: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division- <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a. <br /> ?hone: (269)468-0331 Fax: w <br /> -ontact Person: Rodney Estrada L ¢ 2 <br /> �?�� p; rs <br /> ?roject Name:/�j'� //,1 N6 i./ 7 7 O wrA cc <br /> o <br /> ?urchase Order Number:� t7 W ,. w <br /> 2uote Number: ST 2016031 �� <br /> Sampler(s) AIME 61A 4wfn 4!�D u 0 °° D <br /> E✓ 0 <br /> * o OQ O `g cit <br /> Sampling Fee: Pickup Fee: g c a.� a. <br /> Compositor Setup Date: 1 I Time: / c, z 0 a CX. :az z z <br /> c 0 g u, A EH <br /> Lab Number: STK 3-17919 <br /> Cd <br /> aco a n <br /> N o ' x94 Ls <br /> ;' So'amp Date Time <br /> Num Location Description Sampled Sampled 0 Ca C, <br /> 0. co MO Us._a: <br /> b <br /> 1 ev� wl� D G DW •7.2 <br /> temarks: Relinquished Date: Time: Relinquished Date: Time: MRi <br /> d ate: Ti e: <br /> D3�� <br /> /Z107 <br /> ReceivedkB D te: Time: Received Date: Ti e: y: a i <br /> 3 23 <br /> Corporate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office R LabomtoryNi Office&Laboratory <br /> 853 Corporation Street ll " 1 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 l�t 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)7348435 <br />
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