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SR0076370
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076370
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Entry Properties
Last modified
3/23/2021 11:45:13 AM
Creation date
12/1/2017 9:13:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076370
PE
4380
STREET_NUMBER
2
Direction
N
STREET_NAME
SIBLEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10329016
ENTERED_DATE
12/6/2016 12:00:00 AM
SITE_LOCATION
2 N SIBLEY AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\S\SIBLEY\2\SR0076370.PDF
QuestysFileName
SR0076370
QuestysRecordID
3272441
QuestysRecordType
12
Tags
EHD - Public
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---= CHMN OF CUSTODY <br /> EAkONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) 2 <br /> 35730:02/06/2017 TEST DESCRIPTION - 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 /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-0331 Fax: x <br /> c7 w <br /> Contact Person: Rodney Estrada + ✓� A Q 2 <br /> o <br /> Project Name: C)ZN. —A leg <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0100 <br /> E o F <br /> Sampler(s) o T A <br /> Sampling Fee: Pickup Fee: .5 °�" o a el o ff <br /> Compositor Setup Date: / / Time: / E fl z p a ` 0 Z E <br /> E~ o� oz z u co <br /> q E- <br /> Lab Number: STK 3-17919 o Cn p; n. ; Uqq x <br /> a� <br /> Samp Date Time 6p '� o o b x <br /> Num kation Description Sampled Sampled t~ I a°, pq M O U�1 O N w a w w <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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