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WP0040785
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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26606
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040785
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Entry Properties
Last modified
11/19/2024 3:48:25 PM
Creation date
11/12/2021 10:07:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040785
PE
4366
STREET_NUMBER
26606
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
Zip
95227-
APN
02322005
ENTERED_DATE
5/4/2020 12:00:00 AM
SITE_LOCATION
26606 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CIHMN OF CUSTODY <br /> _ , , , Special www.fgUnc.com <br /> -Nnaiytical Chemists Laboratory Cop (l of 3) <br /> 35731::02!061,' 17 TEST DESCRIPTION See Rev erre gide fior Confaaner, Pr a xvatk andd'Sampling informauom <br /> Cliei�: San Joaquin County EHD <br /> Addr4s: San Joaluin Co. Environmental Health Dep <br /> Water Quality Division — 1� <br /> Attn: Rodney Estrada <br /> ' 1868 East'Siazelton Ave. "7% <br /> Stockton,C'A 95205 <br /> lu <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada A ¢ L a <br /> Project Name: Z� Q(G Y(��rl\� V w o <br /> Purchase Order Number: <br /> 54 <br /> Quote Number: ST 20160 9-0f 00 <br /> y a N <br /> Sampler(s) z T A <br /> �`r -����'� �7"•��G C""�L iu, * � � 5 <br /> Sampling Fee: Pickup Fee: <br /> w =� acu xH <br /> Compositor Setup Date: Time: / E Q z p a <br /> ri 5 oh <br /> Lab Number: STK 3-17919 o w ii " M E a a a n a <br /> Samp Date Time F a m m o <br /> - T o15 NNb i <br /> Num Location Description Sampled Sampled O U y <br /> u w <br /> l 11 G DW I 1.1.1 <br /> Remarks: Relinquished Date: Time: uished Date: Time: Ruished Date: Time: <br /> �elAL1 1 f 9� 1"a', 1-70 eli JOtY14 44 I <br /> R By: Date: Time: Received By: / Date: Time: ceived By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory r <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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