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WP0042569
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042569
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Entry Properties
Last modified
3/16/2022 1:25:58 PM
Creation date
2/10/2022 12:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042569
PE
4378
STREET_NUMBER
8858
Direction
E
STREET_NAME
FAIRCHILD
STREET_TYPE
LN
City
STOCKTON
Zip
95215-
APN
08908003
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
8858 E FAIRCHILD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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=�- Special C gwww.fUnccoENVIRONMENTAL . AGRICULTURAL CUSTODY <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> II�IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II�II�IIIIIIIIIIII 35731:08/02i2021 PEST DESCRIPTION See Re%erae side tetContainer.Preservative and Sampling intormatiun <br /> Client: San Joaquin County EHD ( <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn: Michael Kith 3 a <br /> 1868 East Hazelton Ave. 3 g <br /> Stockton,CA 95205 a <br /> Phone: (209)468-3444 Fax: <br /> i <br /> Contact Person: Michael Kith A ¢ 7 <br /> Project Name: v, <br /> Purchase Order Number: ,Q a Oe <br /> Quote Number: <br /> °� <br /> Samplers) o &nz > O A <br /> U * N a <br /> zi O ca c <br /> Sampling Fee: Pickup Fee: <br /> a c ¢ <br /> Compositor Setup Date: / / Time: / Ei p z O x a r?t <br /> --- — �n c� °r. <br /> Lab Number: STK 3-17919 0 ii �' M.. c> <br /> o ° =' F °"O 007 <br /> Samp Date Time5 n u V a E <br /> Num Location Description Sampled Sampled FT p° p rn v <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dxtc: Time: <br /> c/7 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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