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WP0040169
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040169
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Entry Properties
Last modified
10/19/2020 4:39:36 PM
Creation date
11/8/2019 1:43:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040169
PE
4366
STREET_NUMBER
19319
Direction
E
STREET_NAME
OAKWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18506006
ENTERED_DATE
10/8/2019 12:00:00 AM
SITE_LOCATION
19319 E OAKWOOD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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-_= CHAIN OF CUSTODY <br /> ENVIRONMENTAL-- AGRICULTU <br /> RAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 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 3 a <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205lu <br /> =e <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> c7 w 3 a' <br /> Contact Person: Rodney Estrada 1" 1 b Q : 2 aF <br /> Pro ect Name: <br /> J L <br /> Purchase Order Number: v w <br /> Quote Number: ST 20160309-01w 00 <br /> E o H <br /> Sampler(s) o w z <br /> o ca Q0 , x <br /> w <br /> Sampling Fee: Pickup Fee: n <br /> N M y <br /> n p� ° 0 � ami ai co �Z � E✓ <br /> Compositor Setup Date: / / Time: / E o z O z � <br /> E .. o� - z w ca H <br /> Lab Number: STK 3-17919 0 % E a U x <br /> o v H xO oa <br /> Samp Location Description Date Time y " o. mac o o v o n ,, 6 <br /> Num Sampled Sampled F- n co w O U c7 N <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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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