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SR0065527
EnvironmentalHealth
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SEIDNER
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17947
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4200/4300 - Liquid Waste/Water Well Permits
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SR0065527
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Entry Properties
Last modified
6/30/2026 8:00:39 AM
Creation date
12/1/2017 8:40:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0065527
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
17947
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22925047
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\S\SEIDNER\17947\SR0065527.PDF
QuestysFileName
SR0065527
QuestysRecordID
1919948
QuestysRecordType
12
Site Address
17947 S SEIDNER AVE ESCALON 95320
Tags
EHD - Public
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Special CI mri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUFAL wM�V.fgMC.Com <br /> Customer Copy (2 0 <br /> Analytical Chemists <br /> IIIIIIIII IIIII IIIII II IIIIIIIIIII IIIIIIIIIIIIIII IIIII IIII IIII 35731:04/03/2023 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:Scott Sanglaang <br /> 1868 East Hazelton Ave. cc 0 <br /> Stockton,CA 95205 3 v <br /> Phone: (209)468-3452 Fax: tj W 3 v°4^i oG <br /> A Q <br /> Contact Person: Scott Sangalang <br /> &0 x <br /> Project Name: `" v <br /> Purchase Order Number: <br /> �? W Q p( <br /> Quote Number. o w a v <br /> Sampler(s) U &0 a^ <br /> eo a O �� O <br /> Sampling Fee: Pickup Fee: a o s a U <br /> Compositor Setup Date:_/_/_ Time:_!_ E —"� z O fl A <br /> v� E <br /> Lab Number: STK 3 17919 0 a a - v O <br /> w > v O O <br /> 0 O > <br /> Samp Date Time 'a- p, !9 <br /> Num Location Description Sampled Sampled >_� t~ a cC ao O w�v <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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 9411 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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