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WP0040098
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAN MAR
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13600
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040098
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Entry Properties
Last modified
12/15/2020 2:42:03 PM
Creation date
12/15/2020 2:39:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040098
PE
4366
STREET_NUMBER
13600
Direction
E
STREET_NAME
VAN MAR
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
02102027
ENTERED_DATE
9/20/2019 12:00:00 AM
SITE_LOCATION
13600 E VAN MAR LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
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CHmri OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chernists Customer Copy (2 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> C7 w <br /> Contact Person: Rodney Estrada r A <br /> Project Name: <br /> Purchase Order Number: U <br /> Quote Number: ST 20160309-01 y a d h <br /> E <br /> Sampler(s) 0 vi z T O <br /> Sampling Fee: Pickup Fee: 5 <br /> 0 -M, <br /> fit' <br /> a o a <br /> Compositor Setup Date: / / Time:—/— E z p o; C4 <br /> Lab Number: STK 3-17919 o w ii °dT .. p <br /> 0 0 <br /> Samp Date Time 6 <br /> Num Location Description Samliled Sampled F a GG oq O w v <br /> 0 Travel Blank G LBW 4 <br /> 1 G 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)5254172/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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