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WP0040075
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040075
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Entry Properties
Last modified
11/28/2023 11:14:42 AM
Creation date
10/22/2019 2:43:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040075
PE
4366
STREET_NUMBER
7947
Direction
E
STREET_NAME
ORFORD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10126036
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
7947 E ORFORD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 3;730:02/06/2017 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 /> Atm:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: p4 <br /> c7 w 3`1 <br /> Contact Person: Rodney Estrada \ Q <br /> Project Name:-1�,��1 0 Y <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o w <br /> a E o E� <br /> Sampler(s) o W z i <br /> 00 °O A <br /> /y U rn iv. <br /> aQ M �O <br /> Sampling Fee: Pickup Fee: 5 t'' a N p <br /> Compositor Setup Date: / / Time: / E a z p <br /> -- -- v� E c� —Z 9 w A F <br /> Lab Number: STK 3-17919 o A a. o w U ti <br /> 0 0 H a� oa wa H II o 0 <br /> Samp Date Time rs p =o c c <br /> O N :9Location Descriptii0 <br /> Num Sampled °Sampled M O U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: 'I ime: 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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