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WP0036917
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036917
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Entry Properties
Last modified
9/30/2018 12:05:00 AM
Creation date
6/27/2018 2:42:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036917
PE
4378
STREET_NUMBER
5323
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
17904053
ENTERED_DATE
7/26/2017 12:00:00 AM
SITE_LOCATION
5323 E CARPENTER RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CHMN OF CUSTODY <br /> FGL <br /> Special www.fgUnc.com <br /> Analytical Chemists C'tl.�tomer Corw (2 of 3) <br /> 35730:0_'1lb.2III7 TEST DLS(R1111lU,\ See Recse side liar Ck,nta inei`'Piesenau\e itd Sampling, nttonuauon <br /> lient: San Joaquin County EHDc <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: ce <br /> C7 w 3 <br /> Contact Person: Rodney Estrada rt ', ¢ a <br /> rW <br /> Project Name: �y <br /> S'�b c Ic {v , , <br /> Purchase Order Number: U w ua <br /> Quote Number: ST 20160309-01 ti N <br /> E o E- <br /> Sampler(s) U C) a Q <br /> O � W <br /> Sampling Fee: Pickup Fee: 5 p y = a �F <br /> c b C cv r z y <br /> Compositor Setup Date: / / Time: / E 2 Z p x y y z v 0 a z E <br /> L') E o cn o c Z, <br /> Lab Number: STK 3-17919 0 V') E. n -m U x N= x z <br /> V Ea a v a <br /> o� �= H II •. <br /> Sam Date Time °� — y = <br /> 1 Location Description <br /> Num Sampled Sampled m m O <br /> 1 G DW <br /> Remarks: Relinquished Dote: 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 /> Pfione: (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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