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WP0039834
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039834
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Entry Properties
Last modified
9/30/2019 8:41:49 AM
Creation date
9/30/2019 8:32:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039834
PE
4380
STREET_NUMBER
9261
Direction
S
STREET_NAME
PADDON
STREET_TYPE
DR
City
ESCALON
Zip
95320-
APN
20706038
ENTERED_DATE
7/16/2019 12:00:00 AM
SITE_LOCATION
9261 S PADDON DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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AftCHAIN OF CUSTODY <br /> AGRICULTURAL SpecialENVIRONMENTAL www.fglinc.com <br /> Analytical Chennists <br /> 3 7311:112/06.!2017 TEST DESCRIPTION See Reverse side tier Container. Presercativc and S_unpling information <br /> Client: San Joaquin Count) E11D <br /> Address: San Joaquin Co. Enviironmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada y x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> w 3 V) _ <br /> Contact Person: Rodney Estrada Q <br /> x <br /> Project Name: c7 C <br /> Purchase Order Number: u w 3 uj <br /> w ¢ � x <br /> Quote Number: ST 20160309-01 N N <br /> Sampler(s) o V) z <br /> oii * o O •C ¢O `o W <br /> Sampling Fee: Pickup Fee: ❑ ° ;, o ° o <br /> N —M y <br /> Compositor Setup Date: / / Time: / E —' z 0 a " O w z E <br /> P P n' E O Eva �z cz w Q F= <br /> o ,n <br /> Lab Number: STK 3-17919 0 V� a a U x x <br /> > a, E P L?• H II <br /> � a. a <br /> Tamp Date Time Q '� —o ' o 2 x 2 <br /> Location Description <br /> Sampled Sampled " o <br /> Num <br /> M w 0 U= c7 N <br /> G DW I L IJ <br /> Remarks: Relinquished Dare: Time: Relinquished Datc: 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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