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WP0040053
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040053
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Last modified
3/16/2020 9:36:18 PM
Creation date
3/16/2020 4:02:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040053
PE
4378
STREET_NUMBER
21390
Direction
E
STREET_NAME
EASTERN HEIGHTS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10522013
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
21390 E EASTERN HEIGHTS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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P—MS ecial Clan OF CUSTODY <br /> ONMENTAL AGRICULTURAL <br /> P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q �; <br /> o � <br /> Project Name: lu <br /> Purchase Order Number: U w aai <br /> W <br /> Quote Number: ST 20160309-01 N x <br /> Sampler(s) 0 z w <br /> U _ <br /> ao O <br /> Sampling Fee: Pickup Fee: a <br /> Compositor Setup Date:_/_/ Time:_/_ E �, z O a <br /> rn <br /> Lab Number: STK 3-17919 o N a c <br /> O <br /> �? <br /> Samp Date Time Q 70 <br /> Num Location Description Sampled Sampled 0 H oma, O w a <br /> 0 Travel Blank G LBW 4 <br /> l 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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