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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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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> i 35731:02/06/2017 TEST Dl;-:SCRIPTION See Reverse side for Container. Preservative and Sampling infot6ation <br /> Client: San Joaquin County FHD ¢ <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Ann:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada A <br /> t7 w o <br /> Project Name: Z��C) <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o a E <br /> Sampler(s) o vi z T O <br /> o ca ° <br /> Sampling Fee: Pickup Fee: r' S v O <br /> •Q c u 0`° U <br /> Compositor Setup Date:_!_(_ Time:_/_ E a z O <br /> vt E 0.1 <br /> A <br /> Lab Number: STI{ 3-17919 0 a. n i .. a0 <br /> C O oN; <br /> Samp Date Time -5 V � L ¢ E <br /> Num Location Description Sampled Sampled 0 E~ a m ao 0 w v <br /> 0 Travel Blank 611 G LBW /%. <br /> 1 ti✓ ( it bl Z i G DW 4 <br /> —Remarks, tme: <br /> Received By: Date: Time: Receked ate: Time: Received By: Date: Time: <br /> (011 [v A0 lui <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)7349473 <br /> Fnv Far•(An5)52511177/An Fax•(A05)392-2083 Fay-(2n9)942-0423 Fax:(5301343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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