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WP0040666
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040666
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Entry Properties
Last modified
5/5/2022 8:26:10 AM
Creation date
11/12/2021 10:07:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040666
PE
4366
STREET_NUMBER
9403
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731028
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
9403 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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CHMN OF CUSTODY <br /> FUL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> IIIIIIII VIII VIII II VIII IIIIII VIII VIII VIII VIII IIII IIII 35731:08/02/2021 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 3 aa^ <br /> Arm: Michael Kith a <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith A <br /> C7 W o <br /> Project Name: <br /> Purchase Order Number: ; <br /> Quote Number: N V h a " r4 0 <br /> a <br /> E <br /> Sampler(s) E w z Q <br /> ���h U ai a <br /> c o O •�� o <br /> Sampling Fee: Pickup Fee: C4 z <br /> _ ? — <br /> c <br /> Compositor Setup Date: ! / Time: / E �, z O o w <br /> E o <br /> Lab Number: STK S tl 3-17919 0 % a a ro j <br /> do = E� a o <br /> Samp Date Time -5 a '� o E <br /> Num Location Description Sampled Sampled F cap <br /> DW Sub-3 <br /> ii <br /> Remarks: Relinquished Date: Time: e i ished Date: Time: Relinquished Date: Time: <br /> IIA <br /> 4L 132< <br /> Received By: Date: Time: Receiv d By: q Date: Time: Received By: Date: Time: <br /> (33 <br /> Corporate Offices&Laboratory &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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