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WP0041076
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041076
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Entry Properties
Last modified
11/17/2021 1:48:52 PM
Creation date
9/17/2020 12:48:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041076
PE
4366
STREET_NUMBER
9721
Direction
N
STREET_NAME
LELAND
STREET_TYPE
WAY
City
STOCKTON
Zip
95212-
APN
08510208
ENTERED_DATE
8/11/2020 12:00:00 AM
SITE_LOCATION
9721 N LELAND WAY
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CIHMN OF CUSTODY <br /> ENVIKla-NMENTAL - AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists 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. <br /> Stockton,CA 95205 o <br /> Phone: (209)468-0331 Fax: P <br /> Contact Person: Rodney Estrada O Q a <br /> Project Name: c4 <br /> Purchase Order Number: U w _ <br /> Quote Number: ST 20160309-01 a2. Q `" <br /> 8 o00 <br /> F <br /> Sampler(s) z T A <br /> 0 � 0 <br /> o <br /> Sampling Fee: Pickup Fee: 5 <br /> C �NO <br /> E <br /> Compositor Setup Date:_/_/ Time:_/ Q ¢ z O c =�z v ,�^�, <br /> 5xt— <br /> cl <br /> Lab Number: STK 3-17919 0 Cn a T co A n a <br /> E <br /> y p H P4 — <br /> Samp Date Time o <br /> Num Location Description Sam led Sampled ' O cd td•S ° <br /> P P <br /> I 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: fime: <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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