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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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CHAIN OF CUSTODY <br /> - Special www.fgUne.eom. <br /> Analytical Chemists Field Cbpy (3 of 3) <br /> 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 a <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> v <br /> Phone: (209)468-3444 Fax: <br /> w 3 <br /> Contact Person: Michael Kith <br /> x <br /> Project Name: I a cc U) ' <br /> Purchase Order Number: % m y a O <br /> Quote Number: N a ¢ �' P. <br /> U <br /> W a ay�i E"' CC <br /> Sampler(s) E z > O C] <br /> i. <br /> U * n a <br /> b0 C <br /> Sampling Fee: Pickup Fee: c a 1:5 <br /> Compositor Setup Date:_/_/_ Time:_/ �, z O a a w <br /> Lab Number: STK 3-17919 0 a i .. <br /> 0 0 a? E~ a O o <br /> amp Location Description Date Time K o 5 g E <br /> Num Sampled Sampled It w <br /> � H a a1 M O <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: l imc: <br /> 1teceived By: Date: Time: Received By: Date: Time: Received By: Date: Tinm: <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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