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WP0039099
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039099
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Entry Properties
Last modified
1/9/2019 10:54:10 AM
Creation date
1/9/2019 10:38:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039099
PE
4366
STREET_NUMBER
7615
Direction
W
STREET_NAME
UNDINE
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
18920005
ENTERED_DATE
12/10/2018 12:00:00 AM
SITE_LOCATION
7615 W UNDINE RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
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__= Crimri OF CUSTODY <br /> - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> I <br /> I 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County E'HD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 ° <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> Contact Person: �Rodney Estrada O <br /> Project Name: „ , CIO <br /> Purchase Order Number: S +,D(,1C +vh <br /> w Q n �E <br /> Quote Number: ST 20100309-01 _ N <br /> 00 F <br /> Sampler(s) 0 110 a Q <br /> Oav' O <br /> Ca aM � x <br /> Cn <br /> Sampling Fee: Pickup FCC: ? ? NO x F <br /> G v o rn is� <br /> Compositor Setup Date: / Time: / E a Z O x =z OZ <br /> yr E ° a o C z is Q F <br /> 0 <br /> Lab Number: STK 3-17919 `o V2 a. 6. R v tk <br /> tk = x x <br /> Samp Date Time � o , '� v •`=o c � x <br /> Location Description C, , o L a <br /> Num Sampled Sampled <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> o I�j fly <br /> Received 13� 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)5254172/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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