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WP0039684
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039684
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Entry Properties
Last modified
7/21/2021 4:45:50 PM
Creation date
10/22/2019 2:37:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039684
PE
4366
STREET_NUMBER
369
Direction
N
STREET_NAME
PATTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
10313006
ENTERED_DATE
6/11/2019 12:00:00 AM
SITE_LOCATION
369 N PATTON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENMONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 111111111111111111 IN 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w S <br /> Contact Person: Rodney Estrada A d <br /> a <br /> Project Name: c7 rWi, Go , <br /> Purchase Order Number: U w uw <br /> w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) E w z O a <br /> 0 Pv 0 <br /> a ¢M ,$ <br /> Sampling Fee: Pickup Fee: <br /> a ysViz g a� <br /> Compositor Setup Date:_/_/_ Time: C"_/_ z O ti o Z 9 z w A H <br /> Lab Number: STK 3-17919 o h o. cL 2.. U : N x x <br /> 0 0 �? F �O a ae- FII a a <br /> amp Date Time g '6 '� =o <br /> Location Description Sampled P " ' o M WM .0 U I <br /> d �' <br /> Num led Sam led <br /> F a <br /> 1 G DW <br /> Rcm irks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Datc: 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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