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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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- -= CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgunc.com <br /> Analytical Chemists 4 <br /> Field Copy (3 of 3) <br /> 730:02/06/2017 TEST DESCRIPTION - See Reverse side for ntamer,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep 1 <br /> Water Quality Division a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney,Estrada A Q <br /> 7 <br /> Project Name: :'',j. tJ <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a ¢ <br /> E o F <br /> Sampler(s) E w ; °O A <br /> * a? a <br /> U p O <br /> * 0 0 .5h dO W <br /> Sampling Fee: Pickup Fee: g °� o a a <br /> rA <br /> Compositor Setup Date:_/_/_ Time:_/ E o z O x a �'z O <br /> cd <br /> Lab Number: STK 3-17919 0 <br /> b o F P:O 0m F II <br /> Samp Date Time 6 Q =o c o °x <br /> Num Location Description Sampled Sampled " H a° Cd M va O U= c7 N w" w w <br /> 1 G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Da<<: Dime: Relinquished Date: Time: <br /> Received By: Dale: Time: Received By: Daic: Time: Received B\: 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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