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WP0039565
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039565
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Entry Properties
Last modified
10/1/2019 11:40:26 AM
Creation date
10/1/2019 11:34:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039565
PE
4380
STREET_NUMBER
24405
Direction
N
STREET_NAME
LEADSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220-
APN
00536003
ENTERED_DATE
4/29/2019 12:00:00 AM
SITE_LOCATION
24405 N LEADSTONE DR
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CI�MN OF CUSTODY <br /> ENVIRONMENTAL _AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists <br /> 357311:02/06/2017 TEST DESCRIPTION - See Re%ene side for Container. Pre,enauve and Santpline intormation <br /> Client: San Joaquin CountN E1111) <br /> .address: San Joaquin Co. Em ironmental I lealth Dep <br /> Water Quality Division 3 a <br /> Atm: Rodney Estrada <br /> v <br /> 1868 East Hazelton Ave. q <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> Project Name: w o <br /> Purchase Order Number: U w 3 _ <br /> Y W Q G <br /> Quote Number: ST 20160309-01 <br /> 00a <br /> W Ga <br /> Sampler(s) o w Z O <br /> Sampling Fee: Pickup Fee: 5 ; o n� <br /> M v <br /> Compositor Setup Date:_/_/ Time:_/_ E E z O o z c Ca F <br /> 0 <br /> Lab Number: STK 3-17919 0 w c a a <br /> o F w� i2 <br /> Samp Location Description Date Time ; o c o <br /> y ,� —, v <br /> Num Sampled Sampled u._: J <br /> I G DW <br /> Remarks: Relinquished Date: Timc: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: 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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