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WP0040057
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040057
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Entry Properties
Last modified
12/19/2019 1:42:56 PM
Creation date
10/22/2019 2:43:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040057
PE
4370
STREET_NUMBER
26891
Direction
E
STREET_NAME
MAHON
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
22740011
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
26891 E MAHON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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- -= CHmri OF CUSTODY <br /> EN 41ONMENTAL�— AGRICULTURAL Speckil www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> I 1111111111F1111�11 35730:02/06/2017 TEST-DES RIPTION - See Reverse side for Container,Preservative and Sampling infoorr tion <br /> Client: San Joaquin County Ey d <br /> Address: San Joaquin Co.Environinental Health Dep <br /> Water Quality Division w <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: °4 <br /> C7 Gt1 � <br /> Contact Person: Rodney Estrada La Q <br /> Project Name: <br /> Purchase Order Number: j ua <br /> Quote Number: 3T 20160309-01 <br /> Sampler(s) o w z T °O A <br /> U ?l p O <br /> as ¢0 � x <br /> Sampling Fee: Pickup Fee: c c O o a N o <br /> Compositor Setup Date:_/_!_ Time:_/_ n z p z MO z C E <br /> Cn E o� o a z <br /> Lab Number: STK 3-17919 o w a U a x a c <br /> Samp Date Time �Sb <br /> a x ° ° <br /> Num Location Description Sampled Sampled " o M co-9 Oo N Nc <br /> 0 <br /> P P F w w M O U-• C7 c� w=: u. is <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dane: 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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