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WP0040849
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040849
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Entry Properties
Last modified
12/27/2021 11:26:55 AM
Creation date
12/16/2020 1:05:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040849
PE
4366
STREET_NUMBER
16699
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
AVE
City
OAKDALE
Zip
95361-
APN
22921025
ENTERED_DATE
5/26/2020 12:00:00 AM
SITE_LOCATION
16699 S VICTORY AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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--=_ CHAIN OF CUSTODY <br /> NY. ,KqNMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> [Full 11111111111111111111111111 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County MID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> aai <br /> Phone: (209)468-0331 Fax: a N x <br /> Contact Person: Rodney Estrada 1 d 5 A d <br /> I <br /> Project Name: l t s9/7 i w ' ° <br /> Purchase Order Number: -,)A kkre <br /> Quote Number: ST 20160309-01 y _ <br /> a W a F <br /> Sampler(s) / U N N 0 <br /> Sampling Fee: Pickup Fee: a a O = aa. <br /> a <br /> Compositor Setup Date:_/_/_ Time:_/_ E Q z O a s <br /> v� E K A <br /> Lab Number: STK 3-17919 p <br /> 0 0 _? F a� > <br /> Samp Date Time Q '� <br /> Num Location Description Sampled Sampled F' a ra oo O w <br /> 0 Travel Blank g) ° j} G LBW 4 <br /> 1 %p ISI^1.� G DW 4 <br /> Remarks: Relinquished Date: 1'ime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: ff 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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