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WP0040215
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040215
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Entry Properties
Last modified
7/21/2021 4:39:35 PM
Creation date
12/19/2019 1:26:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040215
PE
4370
STREET_NUMBER
202
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
21634008
ENTERED_DATE
10/25/2019 12:00:00 AM
SITE_LOCATION
202 W JOSEPH RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> LNVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35731:02/06/2017 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 E <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> o. <br /> Phone: (209)468-0331 Fax: <br /> c7 Q 3 <br /> Contact Person: Rodney Estrada „ Q <br /> 7 0.! <br /> Project Name: CU <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N ¢ <br /> C, <br /> E <br /> Sampler(s) o Vw z > O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/ Time: / E a z p a <br /> 'n C Q <br /> O <br /> Lab Number: STK 3-17919 0 a a O <br /> o O y E. o <br /> Samp Date Time s 6. "' ¢E <br /> Num Location Description Sampled Sampled uF a M p w 0 <br /> 0 Travel Blank G LBW j j 1 4 <br /> I G DW 4 <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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