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WP0036501
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036501
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Last modified
3/8/2019 5:01:36 PM
Creation date
3/8/2019 4:19:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036501
PE
4378
STREET_NUMBER
6025
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00525031
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
6025 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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CHMN OF CUSTODY <br /> EMRONMENTAL - - AGRICULTURALSpecial www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada c, <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> c? w 3r- <br /> Contact Person: Rodney Estrada A d <br /> Project Name: <br /> Purchase Order Number: r U W ua <br /> Quote Number: ST 20160309-01 t`t ¢ 95 a <br /> 0 134 <br /> 6 0 <br /> 00 <br /> Samplers) to C6z > O Q <br /> * y h 6 <br /> 0 <br /> Sampling Fee: Pickup Fee: <br /> d ay A is M 'd <br /> Compositor Setup Date: / / Time: /_ a z O c p c z z <br /> Lab Number: STK _5,^ 3-17919 o a a U ca x x x <br /> Samp Date Time 6p <br /> iption 'n cLocation Descra e =0 xcNum Sampled Sampled <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Dare: lime: Recei%;ed 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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