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WP0039565
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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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CHAIN OF CUSTODY <br /> ` RAL Special www.fgUnc.com <br /> Analytical Chemists Fir l(l Cf,T- (1 (_ "2) <br /> 3:730:02/06/2017 PEST DESCRIPTION See Re\erse side for Container. Pre,enati\e and Samphn,, 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 v a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> C7 O 3o^u can..., <br /> Contact Person: Rodney Estrada V) ? E <br /> Project Name: O w o <br /> Purchase Order Number: <br /> a <br /> Quote Number: ST 20160309-01 <br /> C W a, a� O oo C] <br /> Sampler(s) o c„ z O <br /> U t v rn a <br /> Sampling Fee: Pickup Fee: 5 p o a Ln c.�D <br /> c <br /> O E <br /> a y 7;m .fl z Y v <br /> Compositor Setup Date: /_/_ Time: _/ Q z O <br /> V) E =rn o Ez w Ca F= <br /> _ o <br /> STK x x <br /> Lab Number: 3-17919 o r a a c ow <br /> o H a ? F II <br /> Samp Location Description Date Time o 'R :o N a ° <br /> Nom Sampled Sampled :5� F o cc m O U— U N w=: s <br /> G DW <br /> Rcmark,: Relinquished Date: 'I ime: Relinquished Datc: Time: Relinquished Date: fine: <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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