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WP0038627
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038627
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Entry Properties
Last modified
12/27/2018 8:15:13 AM
Creation date
12/26/2018 1:17:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038627
PE
4366
STREET_NUMBER
25373
Direction
N
STREET_NAME
SOWLES
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00730034
ENTERED_DATE
8/7/2018 12:00:00 AM
SITE_LOCATION
25373 N SOWLES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL AGRICULTUML Special www.fglbic.com <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 Health Dcl) <br /> Water Quality Division 3 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 g <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: a <br /> t_7 W 3 En <br /> Contact Person: Rodney Estrad } p A <br /> Project Name:- <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0100 <br /> E o F <br /> Sampler(s) E w Z y 0 A <br /> P. Q en <br /> Sampling Fee: Pickup Fee: G 09 <br /> n a, o 94 dEp <br /> Compositor Setup Date:_/_/_ Time: z O ,, —z <br /> 0 o z =.. <br /> v� 8 ° u. A F- <br /> y x <br /> Lab Number: STK 3-17919 w T O co a x x <br /> 0 o E~ <br /> Samp Date Time �s aar' w Nd❑E <br /> Num Location Description Sampled Sampled oo d o, bxali <br /> b <br /> w LZ <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ` <br /> Received By: Date: Time: Received By: Date: lime: 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 /> • <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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