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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 /> Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 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 p, <br /> 1868 East Hazelton Ave. IU <br /> Stockton,CA 95205 ° <br /> w <br /> Phone: (209)468-0331 Fax: c: <br /> C7 W � C4 _ <br /> Contact Person: Rodney Estrada i2 A Q 2 <br /> C7 W ? a <br /> Project Name: rn o <br /> Purchase Order Number: ; > Q a w W <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) 5 rw z0. T O A <br /> 0 a O <br /> QO ° W <br /> Sampling Fee: Pickup Fee: 4" a, o�_ ° a <br /> a O a t,N M N <br /> Compositor Setup Date:—/_/ Time: / E a z O cU, ro °O z <br /> z A <br /> Lab Number: STK / �• 3-17919 0 o ro v ca x x x <br /> d o H �O C a �a u II a a <br /> Samp Date Time o n '� " 6 o <br /> Num Location Description SampledP Sampled " ' e M O v N O a� ,,N a �' <br /> F a ca -- <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> a <br /> Cort rate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> ' $53 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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