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WP0038513
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038513
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Entry Properties
Last modified
11/19/2024 3:48:24 PM
Creation date
9/27/2018 8:33:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038513
PE
4370
STREET_NUMBER
11220
Direction
E
STREET_NAME
STATE ROUTE 12
City
LOCKFORD
Zip
95237-
APN
05114052
ENTERED_DATE
7/6/2018 12:00:00 AM
SITE_LOCATION
11220 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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- — CHAIN OF CUSTODY <br /> MVIRONMENTAL AGRICULTURAL Special www.fgUnc.com r"r <br /> Analytical ChemistsField Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> 44 <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Uealth Dep <br /> Water Quality Division 3 a ' <br /> Atm:Rodney Estrada p; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> d <br /> Phone: (209)468-0331 Fax: a - <br /> Contact Person: Rodney Estrada <br /> Project Name: O vwi rn <br /> Purchase Order Number: > _ ua <br /> Quote Number: ST 20160309-01 w ¢ CO) <br /> c w ii E _ <br /> F" <br /> Sampler(s) o wJ Cl) z O A <br /> U A V) P4 O <br /> \ 6L * o O y QO w <br /> Sampling Fee: Pickup Fee: Ec ; 'o ? � c <br /> a y o � a'� SMO v i <br /> Compositor Setup Date:_/_/ Time: /_ E G, z O Q z u ;, <br /> E a Uro E z A F- <br /> Lab Number: STK 3-17919 o w E 98L. a a a <br /> H II <br /> Samp D;le Time a .v O o c o v x b b <br /> Num Location Description Sampled Sampled " ' ° d ro�' ° 14 <br /> 1 G DW <br /> Remarks: Relinyui�hcd Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received I3y: Date: Time: Received 13� Date: Time: Received By: Datc: Time: <br /> Coroorate 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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