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WP0038421
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038421
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Entry Properties
Last modified
10/1/2019 11:38:44 AM
Creation date
9/27/2018 8:33:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038421
PE
4378
STREET_NUMBER
16452
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22915010
ENTERED_DATE
6/13/2018 12:00:00 AM
SITE_LOCATION
16452 S HENRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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-_— CHAm OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Fi(fd Copy (3 of 3) <br /> i 35730:02/06/201 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 <br /> Attn:Rodney Estrada y x <br /> 1868 East Hazelton Ave. t <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: ua x <br /> Contact Person: Rodney Estrada A d <br /> Project Name: p�� yG�� �;�� a � � <br /> Purchase Order Number: ��L <br /> Quote Number: ST 20160309-01 <br /> °O A <br /> Sampler(s) (� o vWi z a p a <br /> Sampling Fee: Pickup Fee: C °" o �` � o <br /> a ya^iCA SMO fl <br /> Compositor Setup Date:_/_/_ Time:_/_ o z O q z <br /> v� rn o g zE- <br /> Lab Number: STK 3-17919 0 ii a Vp x N x x <br /> Samp Location Description Date Time T o c 0 B 0" w <br /> Num Sampled Sampled F p pq W O U <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date. l ince: <br /> i <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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