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WP0038878
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038878
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Entry Properties
Last modified
8/1/2019 1:50:20 PM
Creation date
8/1/2019 11:44:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038878
PE
4378
STREET_NUMBER
4656
Direction
E
STREET_NAME
GARIBALDI
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
08708015
ENTERED_DATE
10/10/2018 12:00:00 AM
SITE_LOCATION
4656 E GARIBALDI AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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--- CHmri OF CUSTODY <br /> - . RAL Special www.fglinc.com <br /> Analytical Chernists .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: Sar.Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Atm: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> v <br /> Phone: (209)468-0331 Fax: a <br /> w 3 <br /> Contact Person: Rodney Estrada Q ¢ a <br /> x <br /> Project Name: v Cn cn <br /> Purchase Order Number: 3 w <br /> Quote Number: ST 20160309-01 a ¢ GV <br /> a w cL l 000 Q <br /> Sampler(s) o V) z T O a <br /> U c' CC R+ O <br /> N x <br /> o p aaa. ¢Q $ w <br /> Sampling Fee: Pickup Fee: <br /> o04 <br /> y N cn v <br /> Compositor Setup Date: / / Time: / '— z „ ?O z E <br /> Ln <br /> c c ti o Z c z u Q F <br /> 0 <br /> Lab Number: STK 3-17919 o w a a y E a a v a a <br /> CL <br /> Samp kation Description Date Time n o v a <br /> Num Sampled Sampled Q m cq O U 011 <br /> I G DW <br /> Remarks: Relinquished Datc: Time: Relinquished Date: Time: Relinquished Date: 'l 111L�: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratort, 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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