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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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--_-_ CI mm OF CUSTODY <br /> 'ENVIRONMENTAL AGMULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemistsrl ld Cqry (3 of z) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Pi e,er itta.e `d Sampling int n m.uu n <br /> Client: an 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. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w y w <br /> Contact Person: Rodney.Estrada A d <br /> a <br /> Project Name: vwi in <br /> x 3 a -• <br /> Purchase Order Number: 5. <br /> uj <br /> Quote Number: ST 20160309-01 <br /> o W a Ei F 0 F <br /> Sampler(s) o a� <br /> Z T O <br /> U a0 <br /> ?: h a <br /> Sampling Fee: Pickup Fee: S °" o °' a <br /> C <br /> Compositor Setup Date:_/_/_ Time: /_ —°'R z O <br /> oh o �z w A F <br /> Lab Number: STK 3-17919 - <br /> H II <br /> Samp Date Time a Q v v <br /> Num Location Description Sam led Sampled °' ' e d o v, a <br /> P P t- a w anO U� c7N wc: i% w <br /> 1 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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