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WP0039351
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039351
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Entry Properties
Last modified
4/1/2019 4:40:01 PM
Creation date
3/28/2019 2:33:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039351
PE
4366
STREET_NUMBER
20007
Direction
E
STREET_NAME
ZUMWALT
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20510019
ENTERED_DATE
2/27/2019 12:00:00 AM
SITE_LOCATION
20007 E ZUMWALT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL — Special www.fgmc.com <br /> Analytical Chernistss Customer Copy (? of 3) <br /> may. ? i <br /> 35730:02/06/2017 1 ES 1 DLSCRIPT10�9 - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD s <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> na <br /> Phone: (209)468-0331 Fax: 04 <br /> Contact Person: Rodney Estrada2L n A ¢ E 0DD , - ZN M O.1/+ hJ y a <br /> Project Name: <br /> Purchase Order Number. <br /> w <br /> Quote Number: ST 20160309-01 <br /> t; o F <br /> Sa ler(s) U z T oo A <br /> o o ¢o S w <br /> Sampling Fee: Pickup Fee: a� o f <br /> a Cq Cd <br /> Compositor Setup Date: / /— Time:—/ E o z O x °�' = ~z 2 4 ° <br /> -- oy oZ c fJ. A F, <br /> Lab Number: STK 3-17919 0 a a v x N x x <br /> d o E Samp Date Time CLq =a �C7 pN F xLocation Description 0 <br /> Num Sampled Sampled > In wvII <br /> dw <br /> iq q O V sa. <br /> ARC" . G DW <br /> Remarks: Relihquisd ` D te:_ I Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 13c: Date: Dime: Received By: Datc: Time Received By: llaic: 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 /> Rhone:(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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