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WP0037899
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037899
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Entry Properties
Last modified
1/9/2019 12:16:53 PM
Creation date
1/9/2019 10:33:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037899
PE
4366
STREET_NUMBER
5655
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01734014
ENTERED_DATE
2/1/2018 12:00:00 AM
SITE_LOCATION
5655 E WOODBRIDGE 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 /> Special www.fgUnc.com <br /> FieldCopy (3 of 3) <br /> 35730:02/06/2017 1. TEST DESCRIPTION - See Reverse side for Container,Preservat' and Sampling information <br /> Client: Son Joaquin County EHD <br /> Address: Sin Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> — 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> C7 fi1 <br /> Contact Person: Rodney Estrada A d <br /> Project Name: ' c7 y <br /> Purchase Order N-umber: w <br /> Quote Number: ST 20160309-01 d _ o <br /> Sampler(s) U z °O <br /> +� O a p <br /> Sampiing Fee: Pickup Fee: g a o N� <br /> .N A 2 <br /> Composj!SL Date: Time: / o z O $ _z O <br /> Lab Number: STK 3-17919 0 T U a a o a <br /> 0 0 0 <br /> C1. E vH xSamp Date Time a ° oLocation Description ' ° ° V N " "Num Sampled Sampled ° 7E• O II <br /> io�.' <br /> 0 <br /> iz <br /> 1 t, G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: I ime: <br /> Received BN: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> u <br /> C'oroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 8 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 Faxs'(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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