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WP0038886
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038886
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Entry Properties
Last modified
9/30/2019 8:26:38 AM
Creation date
1/23/2019 8:38:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038886
PE
4366
STREET_NUMBER
9261
Direction
S
STREET_NAME
PADDON
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
207060380
ENTERED_DATE
10/15/2018 12:00:00 AM
SITE_LOCATION
9261 S PADDON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIn OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists ('11ct nom,,.• Copy ,f- ; <br /> 3;730:112/06.!3017 TEST DESCRIPTION See Re%erse side for c ntainc, !'rr ercative and Sampling mim-mation <br /> Client: San Joaquin County EHD 9 <br /> Address: San Joaquin Co. Environmental Health Dep f' <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> t7 Q 3 <br /> Contact Person: Rodney Estrada �, ¢ <br /> Project Name: <br /> Purchase Order Number: rj <br /> Quote Number: ST 20160309-01 o a ¢ �' <br /> Sampler(s) o vWi z , O <br /> > <br /> Q <br /> x <br /> rn o W <br /> Sampling Fee: Pickup Fee: c <br /> cLn <br /> N — + y <br /> Compositor Setup Date: / /_ Time: _/ c a z O m a z �� b z m E <br /> Ez u Q F= <br /> Lab Number: STK 3-17919 0 ii <br /> E <br /> a 0 F- c4 o F II <br /> lamp Location Description Date Time a '@ y y o b <br /> Num Sampled Sampled 2 F- p 6 <br /> i 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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