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WP0038843
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038843
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Entry Properties
Last modified
12/27/2021 3:44:29 PM
Creation date
11/7/2018 8:21:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038843
PE
4370
STREET_NUMBER
9716
Direction
N
STREET_NAME
LELAND
STREET_TYPE
WAY
City
STOCKTON
Zip
95212-
APN
08510303
ENTERED_DATE
10/3/2018 12:00:00 AM
SITE_LOCATION
9716 N LELAND WAY
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 /> _ , , Special www.fglinc.com <br /> .O <br /> Analytical Chemists Field Copy (3 of 3) <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 Hearth Dep <br /> Water Quality Division ..i <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: vWi co <br /> Purchase Order Number: 3 p <br /> W ¢ W <br /> Quote Number: ST 20160309-01 w <br /> a F= 00 <br /> a <br /> Sampler(s) U * `n v. Oa <br /> o O 5y ¢p W <br /> Sampling Fee: Pickup Fee: 5 9' ; o--p xp <br /> t, c U .0 bz E <br /> Compositor Setup Date:_/_/_ Tune:_/ _ O E o M <br /> z <br /> 00 <br /> z w A <br /> GO E 0 <br /> Lab Number: STK 3-17919 o w a s x x <br /> 0 0 r~ 0 O o•• E� II <br /> amp Date Time• r, a '0 "� c q� <br /> Num Location Description Sampled Sampled F a as O U <br /> 1 G DW <br /> Rcmzrkti: Kelinytti he mate: Time: Relinquished Dare: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> I <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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