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WP0038757
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SEIDNER
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17349
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038757
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Entry Properties
Last modified
6/12/2019 4:26:42 PM
Creation date
11/7/2018 8:21:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038757
PE
4378
STREET_NUMBER
17349
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
229250050
ENTERED_DATE
9/10/2018 12:00:00 AM
SITE_LOCATION
17349 S SEIDNER AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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IML-= CI tmri OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII IIII _ 35730:02/06/2017 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 <br /> Atm:Rodney Estradaes <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: wGObb <br /> Contact Person: Rodney Estrada A <br /> Project Name: ,1�jy� P� <br /> Purchase Order Number: w h <br /> y w ¢ x ua <br /> Quote Number: ST 20160309-01 yJX <br /> &- F 0 F <br /> Sampler(s) o z 00 A <br /> R Qj� �VV®W Nl U <br /> ¢O $ W <br /> Sampling Fee: Pickup Fee: h o <br /> a o Cx'v ami " a`� o z <br /> Compositor Setup Date:_/_/_ Time:_/_ z O a o z z w A <br /> 0 <br /> Lab Number: STK 3-17919 0 a a U x H x x <br /> o c E~ aO � �a F. II o a <br /> Samp Date Time ra L a 'U 6 o G c b x b b <br /> Num Location Description Sampled Sampled °' >` O ° d o�' 0 0 ' ° � <br /> P P f~ a M M O U-- c7 c� i3.-: J ii <br /> G DW <br /> Remarks: Relinquisht b �� Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received I3\: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate pffices&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 /> Banta 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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