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SR0076830
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076830
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Entry Properties
Last modified
9/13/2019 9:52:02 AM
Creation date
12/2/2017 10:36:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076830
PE
4366
STREET_NUMBER
2971
Direction
E
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17911021
ENTERED_DATE
2/23/2017 12:00:00 AM
SITE_LOCATION
2971 E LOOMIS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\L\LOOMIS\2971\SR0076830.PDF
QuestysFileName
SR0076830
QuestysRecordID
3342321
QuestysRecordType
12
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENIARONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> _ 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling infornt<uion <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division j <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada Q Q <br /> C7 W o <br /> Project Name: ����•� �, ; v, <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 v x N <br /> o w a o° <br /> 2 o O <br /> Sampler(s) o z <br /> o O �� QO W <br /> Sampling Fee: Pickup Fee: ❑ ° a N„ a� <br /> C J y N M y <br /> Compositor Setup Date: / / Time: / E E z O z c w Ca <br /> Lab Number: STK 3-17919 w ii <br /> o F oo <br /> Samp Date Time a o N- C) <br /> Location Description F2 II <br /> °y <br /> Num Sampled Sampled U n <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: ;ime: <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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