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SR0076016
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076016
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Entry Properties
Last modified
12/19/2019 1:19:18 PM
Creation date
12/1/2017 10:34:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076016
PE
4378
STREET_NUMBER
19405
Direction
S
STREET_NAME
ST JOHN
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
24715060
ENTERED_DATE
10/14/2016 12:00:00 AM
SITE_LOCATION
19405 S ST JOHN AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\S\ST JOHN\19405\SR0076016.PDF
QuestysFileName
SR0076016
QuestysRecordID
3235678
QuestysRecordType
12
Tags
EHD - Public
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- -__ CHAIN 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 EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 :a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> rx <br /> Contact Person: Rodney Estrada Q ate. <br /> Project Name: Sven Ay2 C7 w ° a <br /> Purchase Order Number: <br /> w ¢ x <br /> Quote Number: ST 20160309-01 o <br /> Sampler(s) o 00 <br /> z > O Q <br /> x <br /> Sampling a Fee: Pickup Fee: 5 <br /> o �� ¢ o w <br /> C y 07 ;Q a Ln �„ d <br /> Compositor Setup Date: / / Time: E a z O E <br /> cz y Q F- <br /> Lab Number: STK 3-17919 <br /> Samp Date Time <br /> a <br /> Num Location Description Sampled Sampled 5' ° x <br /> C-1 Lc Li <br /> LL <br /> I G DW 1 1,1,1 <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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