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WP0041351
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041351
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Entry Properties
Last modified
12/27/2021 1:55:02 PM
Creation date
12/10/2020 3:53:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041351
PE
4370
STREET_NUMBER
11518
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20110005
ENTERED_DATE
10/16/2020 12:00:00 AM
SITE_LOCATION
11518 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CHmri OF CUSTODY <br /> FGL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:02/06/2017 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 3 <br /> Attn:Rodney Estrada e; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 d <br /> a <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada Q <br /> Project Name: \1,4; l$ C. k4r <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) Ew z <br /> °J Q a <br /> cL O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/_ Time: / E K z O <br /> 7, 3-179191 n E Q <br /> Lab Number: STK /.J 3-17919 0 � a. <br /> Samp Date Time -S n t <br /> Num Location Description Sampled Sampled <br /> 0 Travel Blank ` SEI ��.,L< G LBW <br /> 014� ,7.— G DW 4 <br /> Remarks: Relinquished Date: Time: ished Date: Time: Relinquished Date: Time: <br /> ece�ve y: Date: Time: Received By: Date: Time: Received By: Date: Sme: <br /> ! � J o7c( )e7,JX40tea �-7� z <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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