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WP0039044
Environmental Health - Public
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FRENCH CAMP
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039044
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Entry Properties
Last modified
9/24/2019 11:08:47 AM
Creation date
1/23/2019 8:40:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039044
PE
4370
STREET_NUMBER
12776
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
206120120
ENTERED_DATE
11/16/2018 12:00:00 AM
SITE_LOCATION
12776 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> RAL Special www.fglinc.com <br /> Analytical Chemists Crust tmer Copy (2 of 3) <br /> 35730:02/0 2 <br /> Ol7 TEST DESCRIPTION See Reverse side for Container. I enervative and Sampling information <br /> C enC San Joaquin County EHD V; <br /> A ,cress: San Joaquin Co.Environmental Health Dep j. <br /> Water Quality Division .i <br /> Atm:Rodney Estrada 1 3 a <br /> 1868 East Hazelton Ave. b <br /> Stockton,CA 95205 3 =° <br /> a <br /> Phone: (209)468-0331 Fax: <br /> w 3 � <br /> Contact Person: Rodney Estrada O ¢ aa'. <br /> C7 W ? o <br /> Project Name: <br /> Purchase Order Number: Q A <br /> Quote Number: ST 20160309-01 N w N <br /> Sampler(s) E w z Ca <br /> U * p a 0 <br /> � <br /> Sampling Fee: Pickup Fee: 5 a a N x F <br /> Compositor Setup Date: / / Time: / Ea Z p '—' d =O a z E <br /> E o� oz cz is Q [— <br /> Lab Number: STK 3-17919 o N a a s U m x <br /> �n a <br /> E <br /> 0 o <br /> Date Time aoE EEa Samm co � <br /> NuLocation Description Sampled Sampled F» xII <br /> a b <br /> n <br /> 1 G DW I I.1.1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Timc: <br /> Received R%: 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)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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