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WP0037875
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037875
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Entry Properties
Last modified
4/2/2019 9:55:42 AM
Creation date
5/17/2018 11:44:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037875
PE
4366
STREET_NUMBER
85
Direction
N
STREET_NAME
SIBLEY
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10329034
ENTERED_DATE
1/29/2018 12:00:00 AM
SITE_LOCATION
85 N SIBLEY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTU <br /> RAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 6f 3) <br /> 35730:02/06/2017 it ST DESCRIPTION See Reverse side for Container.Preservative and Samprifw information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Strada Q ¢ aF <br /> . lt31t `l Avi- c7 w o x <br /> Project Name: <br /> Purchase Order Number: To <br /> Quote Number: ST 20160309-01 Q w o F- <br /> Sampler(s) E w z O 00 Q <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E a Z p x <br /> E o o g z w Q F <br /> Lab Number: STK 3-17919 0 a n o U a1 x x x <br /> Samp Date Time Q y of c of x b <br /> Num Location Description Sampled led Sam <br /> PF m coo v — c7N w s w <br /> I G DW I 1,1,1 <br /> Remarks: Relinquished Date: 1 ime: Relinquished Date: Time: Relinquished Date: Time: <br /> I N.>a 0� x,01 x <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: 1 imc: <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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