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WP0039528
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039528
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Entry Properties
Last modified
2/25/2020 10:54:48 AM
Creation date
9/24/2019 10:10:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039528
PE
4378
STREET_NUMBER
17597
Direction
S
STREET_NAME
BEELER
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22903023
ENTERED_DATE
4/22/2019 12:00:00 AM
SITE_LOCATION
17597 S BEELER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL CHMN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> Field Copy (3 of 3) <br /> 3J730: 2/06/2017 TEST DESCRIPTION See Reverse side for Contain'r, Preservative and Sampling information <br /> Client: San Joaquin County El D <br /> a Address: San Joaquin Co. Environmental I IcAth Dep <br /> r Water Quality Division 3 a <br /> Attn:Rodney Estrada L o <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: x <br /> � Q 3 <br /> Contact Person: Rodney Estrada E a <br /> Project Name: 'A o yr b <br /> Purchase Order Number: <br /> w ¢ x ?. <br /> Quote Number: ST 20160309-01 _ <br /> a W G v E"' oho E- <br /> Sampler(s) o w z > O <br /> Samplin8 Fee: Pickup Fee: <br /> M.,D <br /> Compositor Setup Date: /_/ Time: /_ E Z p '—_' z O c <br /> Lab Number: STK 3-17919 0 a M. U x v a n <br /> o r �� <br /> Date Time a = E y <br /> Samp o <br /> Num P P led Sampled � °x <br /> Location Description Sam ' ° ° ° <br /> I G D%N' I Ll,l <br /> Remarks: Relinquished Date: 1 ime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Tillie. Received By: Datc: 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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