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WP0038580
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038580
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Entry Properties
Last modified
3/22/2019 2:40:39 PM
Creation date
10/25/2018 2:23:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038580
PE
4378
STREET_NUMBER
4902
Direction
E
STREET_NAME
HILDRETH
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08530016
ENTERED_DATE
7/20/2018 12:00:00 AM
SITE_LOCATION
4902 E HILDRETH LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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Crlmri OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Co&aitier,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person ey Estrada A d <br /> Project Name: %--- ~ � 0 <br /> - <br /> Purchase Order Number: S Z,L V w w <br /> Quote Number: ST 20160309-01 y 4 y00 <br /> _ x a <br /> F o F <br /> Sampler(s) c z T AO A <br /> "g-'ON (n�ao p a x <br /> o o � ¢o ° w <br /> Sampling Fee: Pickup Fee: <br /> a z M <br /> Q y O rJ a+'v �Z cs 0 <br /> Compositor Setup Date:_/_/ Time:_/_ 6 ry z p a z O <br /> 5 Z iw A E-H <br /> Lab Number: STK 3-17919 0 a o M U M x N x x <br /> b <br /> iai vU <br /> P--N-- C7;o ~ <br /> amp Date FTi-me N 'n 0 cobv •oLocation Description u's o oNum Sam led O V a'L� <br /> G DW 1 1,1,1 •73 ��• <br /> Remarks: Relinquished Date by ,eime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received Bq: 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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