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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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CHMM OF CUSTODY <br /> - <br /> AGRICULTURAL Special www.fgUnc.com <br /> ENVIRONMENTALAnalytical Chernists Customer Copy (2 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container.Pr�eservativE,and Samp�ing information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q Q <br /> w <br /> a <br /> Project Name: <br /> Purchase Order Number: y 3 <br /> Quote Number: ST 20160309-01 – a <br /> Sampler(s) o w z > O <br /> U m a <br /> c p <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: /_ E v z O y <br /> — <br /> Lab Number: STK c" 3-17919 c a. a p <br /> Samp Date Time n ', Q <br /> Location Description <br /> Num P ' P d Sampled <br /> Sam le " ' o ° ° ° o <br /> F a w0 wv <br /> 0 1'ravel Blank G LBNN' 4 <br /> 1 G DSL 4 <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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