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WP0038851
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038851
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Entry Properties
Last modified
6/13/2019 10:55:01 AM
Creation date
11/7/2018 8:21:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038851
PE
4378
STREET_NUMBER
30399
Direction
E
STREET_NAME
LEE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
249070390
ENTERED_DATE
10/4/2018 12:00:00 AM
SITE_LOCATION
30399 E LEE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County MID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number. <br /> Quote Number: Sl'20160309-01 <br /> a F o F <br /> Sampler(s)J ��� 00 <br /> U z T O A <br /> 1w _ vi x^ a p <br /> o Oti QO `O W <br /> Sampling Fee: Pickup Fee: 5 o °•�ry o <br /> d � <br /> Compositor Setup Date:_/_/ Time:_/ EE Q z O a z O <br /> 09 z u. <br /> Lab Number: STK 3-17919 o v� p^o a U x x x <br /> d Sampled Sampled 4.. <br /> amp Date Time � a Ems Z x w°.c c of '"a <br /> :2x b <br /> Location Description °' ° cd ` <br /> Num U° ° °' <br /> F p F a M PGO U C7 r ii LT. is. <br /> G DW <br /> Remarks: Relinquishek"'\v" Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recek ed 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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