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WP0038722
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038722
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Entry Properties
Last modified
8/1/2019 1:44:18 PM
Creation date
11/7/2018 8:21:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038722
PE
4378
STREET_NUMBER
22555
Direction
E
STREET_NAME
ARTHUR
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22905027
ENTERED_DATE
8/29/2018 12:00:00 AM
SITE_LOCATION
22555 E ARTHUR RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County E1ID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q Q w <br /> Project Name: <br /> 1 V)i b <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0100 <br /> E o F- <br /> Sampler(s) U z T O Q <br /> * x <br /> Q" W <br /> Sampling Fee: Pickup Fee: c a aCn <br /> a F <br /> O U N c+� a� <br /> Compositor Setup Date:_/ / Time: / '— z O c —Z O z E <br /> E oz u Q E- <br /> Lab Number: STK 3-17919 0 V) a n o Ura x = x x <br /> a a <br /> E a. <br /> Samp Date Time S ; "� =c o x <br /> Num Location Description Sampled Sampled °N <br /> N <br /> l 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: 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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