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WP0038575
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038575
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Entry Properties
Last modified
12/26/2018 4:17:55 PM
Creation date
12/26/2018 4:05:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038575
PE
4378
STREET_NUMBER
1830
Direction
N
STREET_NAME
PATTERSON
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
08909220
ENTERED_DATE
7/19/2018 12:00:00 AM
SITE_LOCATION
1830 N PATTERSON AVE
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 /> Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> L <br /> 35730:02/06/20;7 TEST DESCRIPTION - See Reverse side'for Contiiner, Preservative and Sampling information <br /> Client:: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep s <br /> Water Quality Division w <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. lu <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrad A <br /> L <br /> Project Name: <br /> Purchase Order Number: <br /> oq °� Liz <br /> Quote Number: ST 20160309-01 0 o , <br /> Sampler(§) o w z O °O A <br /> U * ?? p 0 <br /> [a <br /> 6� 06i) 0 x <br /> Sampling Fee: Pickup Fee: c ? c <br /> Compositor Setup Date: / / Time:—/— E p z p �'z E z �,^�, E <br /> ——— &nE v� c Sy u. A F- <br /> Lab Number: STK 3-17919 v w i T M O = a a <br /> o F x L F <br /> Samp Date Time -5 w '� o c <br /> Nu Location Description Sampled Sampled � F � <br /> O U� <br /> w Co U <br /> G DW <br /> Remarks: Relinquished Dale: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: Received By: Date: Time: Received By: : Date: Time: <br /> • 1 I <br /> f� <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory ; <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D" 9415 W.6oshen 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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