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WP0038827
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038827
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Entry Properties
Last modified
7/22/2020 9:55:20 AM
Creation date
7/22/2020 9:30:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038827
PE
4366
STREET_NUMBER
5850
Direction
E
STREET_NAME
ASHLEY
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08511076
ENTERED_DATE
10/2/2018 12:00:00 AM
SITE_LOCATION
5850 E ASHLEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.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 <br /> Stockton,CA 95205 cc <br /> Phone: (209)468-0331 Fax: <br /> C7 W L _ <br /> Contact Person: Rodney Estrada A Q <br /> j � o <br /> Project Name: ��(� ff��►f t l <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0100 <br /> Samplers) r' 1 o z O A <br /> U * 9 x a O <br /> fi l� t' ii * o Oy aO w <br /> Sampling Fee: Pickup Fee: $ ° a <br /> Compositor Setup Date:_/ / Time: (_ Q z O G, —z „ 9 <br /> 0 o z <br /> Lab Number: STK t 3-17919 0 a a U x h x x <br /> . 8 a <br /> 911 <br /> Samp Date Time aa v <br /> Location Description O''' Jo, <br /> Num Sampled Sampled 0tl O U a <br /> ir. <br /> 1 G DW <br /> i <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1I�I1 a 1131/ <br /> Received By: ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> Pio 1!3/) <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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