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WP0040665
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040665
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Entry Properties
Last modified
12/21/2021 6:30:36 PM
Creation date
11/12/2021 10:06:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040665
PE
4366
STREET_NUMBER
9467
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731030
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
9467 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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Cf mri OF CUSTODY <br /> IENTAL -- AGRICULTURAL-E pecial '_ww.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 3) <br /> 35730:02/06!2017 T T DESCRIPTION' See Reverse side tier Container. Preservative and Samhli information <br /> — --tr <br /> (Tient: San Joaquin C unto END <br /> Address: San Joaquin Cd. EnvirVinental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada r x <br /> 1868 East Hazelton Avk. o <br /> Stockton,CA 95205Cd <br /> a <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: .4-Gt�9 Zl C ;; j < � a w <br /> Quote Number: ST 20160309-01 a Q <br /> E o F <br /> Samplers) [ o ti z > O °O Q <br /> -f—ret <br /> c U * cn �" w O <br /> Sampling Fee: Pickup Fee: <br /> t NM Z <br /> Compositor Setup Date: / / Time: / E o z O °' ° 2 O z z Y E <br /> E ovoi oZ yz iz Q F� <br /> Lab Number: STK 3-17919 0 w a v a a o n <br /> b o F a o= ? F II <br /> Samp Date Time o <br /> Location Description a� > -60 N , c U Z <br /> Num Sampled Sampled <br /> G DW <br /> Remarks: Relinquished Date: Time: uished Dat : Time: Relinquished Date: Time: <br /> 1700 15q12112) 11:3 <br /> eceived By: Date: Time: Received By: Date: Time/ R ce ved By: I ate: Tie: <br /> 3� <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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