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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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---= CHAIN OF CUSTODY <br /> ENVkNMENTAL AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> —T-- <br /> 35730:0`/06/2017 TEST DESCRIPTION - See Reverse side for Cortainei,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep 1, <br /> Water Quality Division a , <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209,)468-0331 Fax: <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: w ¢ a w <br /> Quote Number: ST 20160309-01CL y a N <br /> E o <br /> 00 <br /> Sampler(s) 0 r 00 1 <br /> x 0 <br /> o o � Qo w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E z O a: d = O z <br /> Z „z <br /> --- -- Ln E c� o ❑ q E <br /> Lab Number: STK 3-17919 0 w w a a a a <br /> Samp Date Time 6 9n =o c b x <br /> Num Location Description Sam led Sampled " ' o ° `d g E g <br /> P P H a R1 CG O V <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recei ed B Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> CorRorate 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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