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WP0040802
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040802
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Entry Properties
Last modified
7/6/2021 3:04:24 PM
Creation date
6/25/2020 10:19:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040802
PE
4370
STREET_NUMBER
28728
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22912025
ENTERED_DATE
5/11/2020 12:00:00 AM
SITE_LOCATION
28728 E LONE TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGLCrlmri OF CUSTODY <br /> . , Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 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 <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. ?; <br /> Stockton,CA 95205 3 n <br /> 1! <br /> Phone: (209)468-0331 Fax: <br /> tj w 3 <br /> Contact Person: Rodney Estrada <br /> Project Name: vw ; A <br /> Purchase Order Number: /— <br /> `? w Q <br /> Quote Number: ST 20160309-01 N � <br /> $ w iE F t� <br /> Sampler(s) 0 � z Q <br /> U * E Q <br /> Sampling Fee: Pickup Fee: <br /> c <br /> c <br /> Compositor Setup Date: / / Time: a Z p a s b z E <br /> n E �cn o y Q H <br /> Lab Number: STK 3-17919 0 a o U N x x <br /> Ew <br /> ,o = <br /> Samp IU <br /> Location Description Date Time lu o � ^ N ti <br /> Num Sampled Sampled F. a w m O v - c7 cv u _: w w <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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