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WP0040933
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040933
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Entry Properties
Last modified
11/22/2021 2:53:48 PM
Creation date
11/3/2021 1:23:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040933
PE
4370
STREET_NUMBER
1282
STREET_NAME
CORWIN
STREET_TYPE
DR
City
MANTECA
Zip
95337-
APN
22231005
ENTERED_DATE
6/30/2020 12:00:00 AM
SITE_LOCATION
1282 CORWIN DR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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AL <br /> RM <br /> ML S Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL � AGRICULTURAL <br /> p www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> �IIIIIII�II�IIIIIIIIIIIII'IIIIIIIIIIIIIIIIillllllllllllllli _ 38730:02'06'2017 '1 FST hFSCRIPTION S aide fi,rCnnGiinrr. pr rn;ui c and Samplim_ inlormati,vt <br /> Client: San Joaquin Counh EHD <br /> Address: San Joaquin Co. Environmental Health Dei ` <br /> Water Quality Division 99 •( a <br /> Attn: Rodney Estrada 3 L4 i <br /> 1868 East Hazelton Ave. g e <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: w S x <br /> Contact Person: Rodney Estrada Q <br /> Project Name: ' c7 <br /> Purchase Order Number: G ¢ a w <br /> Quote Number: ST 20160309-01 H c <br /> Sampler(s) o z T O0 A <br /> U *� R <br /> x <br /> o o Qo w <br /> Sampling Fee: Pickup Fee: <br /> a = °—'`� SMO b Y <br /> Compositor Setup Date:—/_/ Time: E <br /> _/— 6 a z O q -z „ y R <br /> c a^ �z a H <br /> x <br /> Lab Number: STK 3-17919 0 ii a v ^ w <br /> C6 o. <br /> Samp Date Time <br /> Num Location Description Sampled Sampled H a o4 as O U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dale: I'inte: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> i <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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