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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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CHAIN OF CUSTODY <br /> RAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 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 a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q Q a <br /> Project Name: vwi R <br /> Purchase Order Number: ; <br /> Quote Number: ST 20160309-01 <br /> a w a E <br /> Sampler(s) o vwi z > O <br /> U * u <br /> cc 6b 0 � Q. C <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/ Time: _/ E p z O n <br /> E o Ca <br /> Lab Number: STK 3-17919 0 w n. a p <br /> � <br /> Samp Date Time r o 5 0' '5L ¢ E <br /> Num Location Description Sampled Sampled � E~ a rA m 6 w a <br /> 0 Travel Blank G I LBW 4 <br /> 1 G I DW 4 <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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