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WP0038583
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038583
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Entry Properties
Last modified
2/25/2020 10:46:32 AM
Creation date
10/17/2019 10:09:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038583
PE
4366
STREET_NUMBER
1842
Direction
E
STREET_NAME
PALM TREE
STREET_TYPE
LN
City
MANTECA
Zip
95336-
APN
177470110
ENTERED_DATE
7/23/2018 12:00:00 AM
SITE_LOCATION
1842 E PALM TREE LN
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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Tags
EHD - Public
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CHAIn OF CUSTODY <br /> ENVIRONMENTAL AGRICULTU <br /> RAL Sped:it www.fglinc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 3;730:02/06./2017 TEST DES'RIPTTON See Reverse side for Container, Preservative and Sampling inforn't(iun <br /> Client: San Joaquin County El 1) <br /> Address: San Joaquin Co.Environ:rental Health Dep <br /> Water Quality Division a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave: 3 u <br /> Stockton,CA 95205 —° <br /> a <br /> _ 7) <br /> Phone: (209)468-0331 Fax: } <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: U >1 ° <br /> vy. 7 <br /> Quote Number: ST 20160309-01 <br /> E00 <br /> o E- <br /> Sampler(s) E w Z Ca <br /> c v> > O .a <br /> O <br /> -Is zi <br /> N x <br /> ¢o <br /> Sampling Fee: Pickup Fee: E a 'o a r4 a� <br /> '- - i✓N M <br /> Compositor Setup Date: / / Time: E n z O °' z v O z E <br /> 6 <br /> G o o c x ti Q F <br /> Lab Number: STK 3-17919 0 ii a a Q n <br /> Samp Location Description Date Time v ¢ 'S o N y v a v v <br /> dun: Sampled Sampled >� r a. co x O U-- 0 - <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: 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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