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WP0039953
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039953
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Entry Properties
Last modified
9/20/2021 4:56:02 PM
Creation date
9/19/2019 4:41:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039953
PE
4366
STREET_NUMBER
826
Direction
W
STREET_NAME
BOWMAN
STREET_TYPE
AVE
City
FRENCH CAMP
Zip
95231-
APN
19326016
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
826 W BOWMAN AVE
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Elm= CHAIN OF CUSTODY <br /> . -" Special www.fgUnc.com <br /> Analytical Chernists 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 3 a <br /> Attn:Rodney Estrada u <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 ro <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ro Q d <br /> Project Name: L(o tN °ti'�`i4nu. a <br /> Purchase Order Number: ✓rCr'Ch �`'°i'/' U w v ua <br /> Quote Number: ST 20160309-01 N ¢ a <br /> E w a v <br /> SamplerA <br /> Sampler(s) /�:',:7,i[ i ( J �q�Yc, C" , Z U C v 0 A <br /> b0 O .0 o ¢0' � W <br /> Sampling Fee: Pickup Fee: 5 ; o� C'4 a� <br /> N M y <br /> Compositor Setup Date: / / Time: / E a z O a Q °z '0 ,—,z 8 <br /> co o c z <br /> Lab Number: STK 3-17919 0 a a U x ti x x <br /> FT a0 Ea. �a Fes- II a a <br /> Samp Location Description Date Time o o o N C' a <br /> Num Sampled Sampled F- a w MM 0 U <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 /> 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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