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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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_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 1111 F111111 11111111111111111111 IN III 35730:02/06i2017 TEST DESCRIP'T'ION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada o; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: 1Rqodney Estrada T , �_ - � A Q <br /> Project Name: 4 1� � ��1���� "+_' <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 ` w d W) x a" <br /> � E o <br /> oo A <br /> Sampler(s) o z <br /> s'tiE'+4.�N l t at�P <br /> a <br /> Sampling Fee: Pickup Fee: 5 a° a O a H <br /> a <br /> Compositor Setup Date:_/_/ Time:_!_ EE o z p a n °�,'z O <br /> v� 6 0 E o- gzE- <br /> Lab Number: STK 3-17919 0 WA a o. m U x N x x <br /> v NO Ea a <br /> Samp Date Time a a Location Description o 0[c <br /> Num Sampled Sampled N 2 F. O U O b" <br /> O <br /> E. w <br /> G DW <br /> Remarks: Relinquished Date1`/gJ Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Dale: 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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