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WP0043596
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043596
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Entry Properties
Last modified
5/2/2023 4:27:47 PM
Creation date
3/24/2023 11:15:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043596
PE
4378
STREET_NUMBER
24545
Direction
N
STREET_NAME
SUTTENFIELD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104216
ENTERED_DATE
8/10/2022 12:00:00 AM
SITE_LOCATION
24545 N SUTTENFIELD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL <br /> www.fgUnc.com <br /> ffII IIIIAnalytical Chemists Laboratory Copy (t of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Atm:Michael Kith <br /> 1868 East Hazelton Ave. I.'�{t7 <br /> Stockton,CA 95205 �/ 3 a <br /> a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith <br /> Protect Name: 7FAwy vw <br /> o2( h <br /> Ul <br /> Purchase Order Number: / � U in 3 rn <br /> Quote Number: "' _ < E �• <br /> 6 <br /> Sampler(s) /'- o ti Z a. 0aD <br /> �lAil�r 3 C� t7✓ " a a <br /> 9 ri <br /> Sampling Fee: Pickup Fee: 22 0 �=H g <br /> 6 e `u o w < <br /> Compositor Setup Date:_/_/_ Time:_/_ a a Z p a a t°q' <br /> O� o?� �� m E h h _ <br /> Lab Number: STK 3-17919 `o <br /> v3a v. m j <br /> a o v H <br /> ad mrD <br /> Samp, Date Time v a 'a '� a, O_ <br /> Num Sampled Description Sampled Sampled F a° w 010 <br /> h a <br /> 1 I AVf G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 0 Io'A <br /> 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 /> u 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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