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WP0042047
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042047
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Entry Properties
Last modified
12/22/2021 1:35:01 PM
Creation date
11/12/2021 10:08:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042047
PE
4378
STREET_NUMBER
16727
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
WAY
City
CLEMENTS
Zip
95240-
APN
01914021
ENTERED_DATE
5/18/2021 12:00:00 AM
SITE_LOCATION
16727 E BRANDT WAY
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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CHmri OF CUSTODY <br /> JENYiRON MENTAL _AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Laboratory Copy. 1 of 3) <br /> IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII +IIII I 35730:02/06/2017 TES I I tit IZ I I'1 i( N Scc Reverse side tier Container. Preservatke and Sactplin,� 1 ratan I <br /> Client: San Joaquin Coun4-EHD ' r <br /> Address: San Joaquin Co. Er�Ironmental health Dep ' <br /> Water Quality Divi$'.' <br /> Attn: Rodney Estral i 3 a <br /> 1868 East HazeltortV ve. ; <br /> Stockton.CA 95205 3 —° <br /> a �a" <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada A Q <br /> `�� <br /> Project Name: <br /> v <br /> Purchase Order Number: C�� ,_'`C t [S, U a � ^� <br /> QuNumber: ST 2016030 -tj►l \h 7 1J`t�� o W ¢ a <br /> E E- <br /> n <br /> SamplerZ <br /> Sampler(s) o z T O .a <br /> 04 ^ a 0 <br /> Sampling Fee: Pickup Fee: c <br /> C ° cd t:N M <br /> Compositor Setup Date: / / Time: / E = z 0 a°i = O b z E <br /> �z w A F- <br /> Lab Number: STK A[ 3-17919 o <br /> cc <br /> a � m <br /> U a o <br /> T <br /> Date Time <br /> lamp t <br /> Num Location Description Sampled Sampled Fa oMctl O0 <br /> U-- 0 <br /> G DW I 1,1, zJ• ri) 1'y 1 �x G� <br /> 3emarks: Relinquished Date: Time: wished Date: Time: Relinquished Date: Time: <br /> Re erve y: Date: Time: Received By: Date: Time: e ved By: Date: Time: <br /> Coruorate 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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