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WP0038204
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038204
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Entry Properties
Last modified
3/16/2020 6:04:59 PM
Creation date
9/27/2018 8:30:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038204
PE
4366
STREET_NUMBER
2430
Direction
N
STREET_NAME
MURRAY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10510020
ENTERED_DATE
5/1/2018 12:00:00 AM
SITE_LOCATION
2430 N MURRAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling intormation <br /> Client. San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada y a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: * x <br /> C7 wCa 3 � <br /> Contact Person: Rodney Estrada ro Q <br /> Project Name: <br /> Purchase Order Number: ? uj <br /> Quote Number: ST 20160309-01 w <br /> n. W P. a�Ei 00 Q <br /> Sampler(s) o Cn z <br /> U * = a O <br /> x <br /> o o ._ ¢o w <br /> Sampling Fee: Pickup Fee: E <br /> tJN M N <br /> Compositor Setup Date: /_/ Time:_/ `E z O a —z e z w A <br /> 0 <br /> Lab Number: STK 3-17919 w Q O E a a o a <br /> Samp Location Description Date Time g o o N r a U <br /> Num Sampled Sampled F 0 cq oa O U <br /> 1 G DW <br /> Remarks: 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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