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WP0038682
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038682
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Entry Properties
Last modified
9/30/2019 8:26:08 AM
Creation date
4/2/2019 9:33:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038682
PE
4366
STREET_NUMBER
1304
Direction
N
STREET_NAME
FINE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09304075
ENTERED_DATE
8/17/2018 12:00:00 AM
SITE_LOCATION
1304 N FINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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- = CHAIN OF CUSTODY <br /> € <br /> A `` www.fglinc.com <br /> Special linc.com <br /> Analytical ChernistsP <br /> F it�l� (Font- (; of t <br /> 3;730:02/0612017 TEST DESCRIPTION See Reverse site tier Container. Preservative anti Sampling intormation <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 —° <br /> aai <br /> Phone: (209)468-0331 Fax: <br /> U <br /> Contact Person: Rodney Estrada <br /> 7 py/ <br /> Project Name: <br /> Purchase Order Number: U W o a uj <br /> Quote Number: ST 20160309-01 C¢ Ln <br /> � W w E <br /> Sampler(s) E <br /> y a0 <br /> o O Ca ¢o 0 x <br /> Sampling Fee: Pickup Fee: c' °" ;, o b °Ln <br /> fl. y ,N tNd L M b Z Y <br /> Compositor Setup Date: /_/ Time: / E z O E o Z C z w Q F <br /> o x <br /> Lab Number: STK 3-17919 0 w a a v a t^y a a <br /> lamp Date Time <br /> Location Description o <br /> Sam am " ° ' <br /> Num led Sampled a v v <br /> P P � F a ca m O U- C)r, s _: J u- <br /> I 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 /> 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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