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WP0040518
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040518
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Entry Properties
Last modified
7/21/2021 4:40:06 PM
Creation date
5/14/2020 2:06:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040518
PE
4370
STREET_NUMBER
222
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
21634006
ENTERED_DATE
2/12/2020 12:00:00 AM
SITE_LOCATION
222 W JOSEPH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL _ , RAL 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 /> Aun:Rodney Estrada Y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada <br /> Project Name: �n,.� <br /> Purchase Order Number: AA4(l�(Cu > ua <br /> Quote Number: ST 20160309-01 N `,, _ N <br /> W a E F o°o F <br /> Sampler(s) o z > O A <br /> .2 �' a - a x <br /> Sampling Fee: Pickup Fee: Cnp <br /> a �, o � a��i� 2O bz E <br /> Compositor Setup Date:_/_/ Time: /_ a z O G, z „ "- 4 <br /> c� o o z o i <br /> Lab Number: STK �1� !�(� 7 3-17919 0 ii <br /> Samp Date Time E o � <br /> Num Location Description Sam led Sampled " 'H ° ° °O 5 ° <br /> P -- C7 <br /> P <br /> a W W v <br /> 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 8,Laboratory Office 8,Laboratory Office&Laboratory Office 8,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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