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WP0041564
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041564
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Entry Properties
Last modified
4/17/2023 11:11:11 AM
Creation date
4/3/2023 2:55:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041564
PE
4370
STREET_NUMBER
30331
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20729072
ENTERED_DATE
12/29/2020 12:00:00 AM
SITE_LOCATION
30331 E LONE TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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iFGL CHAIN OF CUSTODY <br /> EN30NMENTAL AGRICULTURAL Special www rgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> III IIIIII I III I'ltlllll' �l�� " 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 3 a <br /> Atm:Michael Kith n; <br /> 1868 East Hawhon Ave. w <br /> Stockton,CA 95205 3 <br /> u <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith ¢ ar <br /> Project Name:1�'�\ U w w is <br /> Purchase Order .Number: (,OYIL deo a O <br /> Quote Number: t'1y <br /> a <br /> Sampler(s) <br /> �ft� Z >, O C? <br /> m 1. .. <br /> a <br /> ca <br /> Sampling Fee: Pickup Fee: Eo A <br /> s c <br /> Compositor Setup Date:_/_/_ Time:_/_ E� o, Z p a q W <br /> 2 / rn E h h u <br /> Lab Number: STK 3330�� 3-17919 0 o v F a 0 O <br /> Samp Date Time <br /> Num Location Description Sampled Sampled F a w m`°O h a <br /> G DW Sub-3 <br /> Remarks: Rel i quashed Date: Time: Re' fished Dpte: Time: Relinquished Date: Time: <br /> wks 17v0 <br /> By: Date: Time: Received By: te: Time: Received By: Date: Time: <br /> 1141 <br /> Corporate Offices 8 Laboratory Laboratory Office&Laboratory Office&Laboratory Office 8 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)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax: (530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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