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WP0040491
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040491
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Entry Properties
Last modified
7/8/2020 12:24:38 PM
Creation date
3/24/2020 1:41:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040491
PE
4366
STREET_NUMBER
16779
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06511021
ENTERED_DATE
2/4/2020 12:00:00 AM
SITE_LOCATION
16779 E FRAZIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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- -= CHAIN OF CUSTODY <br /> Special www.fglinc.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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 U <br /> Stockton,CA 95205 =° <br /> Phone: (209)x,68-0331 Fax: <br /> Contact Person: RodneyEstrada A <br /> Project Name: �,p-r� <CL--- 1 �wi, v0 � <br /> Purchase Order Number: ` 'r'L1tt1 cjt <br /> g w d " a a <br /> Quote Number: ST 20160309-01 w a E= E- <br /> Sampler(s) o � z T A <br /> U * <br /> �Z <br /> oQo � w <br /> Sampling Fee: Pickup Fee: __ p ; o a ti p <br /> Compositor Setup Date:_/_/_ Time: a. Z <br /> I=_ o� a Gz <br /> Lab Number: STK 3-17919 0 � U x x x <br /> 0 <br /> 0 <br /> Date Time oSamp <br /> Num Location Description Sampled Sampled O 0 U <br /> Ea w <br /> U <br /> G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> All 1130 <br /> ecei 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.Undo 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)5254172/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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