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WP0037672
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037672
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Entry Properties
Last modified
3/24/2020 1:17:21 PM
Creation date
3/24/2020 1:09:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037672
PE
4378
STREET_NUMBER
17327
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20508025
ENTERED_DATE
12/5/2017 12:00:00 AM
SITE_LOCATION
17327 S VAN ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> - , Special www.fglinc.com <br /> Customer Copy (2 of 3) <br /> .E <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side 4'.)r Container, Preservative and Sampling information F <br /> Client: San Joaquin Count),EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: Cn <br /> Contact Person: Rodney Estrada J 2 Q 2, QF" <br /> = e <br /> Project Name: w„ <br /> Purchase Order Number: U w n ¢ w <br /> Quote Number: ST 20160309-01 N a ¢ a <br /> E o H <br /> Sampler(s) 0 z > O Q <br /> x <br /> Sampling Fee: Pickup Fee: o �' o <br /> Compositor Setup Date: / / Time: /_ E z p n �'Z 0 z E <br /> -- i� ^ z <br /> Lab Number: STK 3-17919 o con p^, C1. U x w Ca H <br /> o y F as Ea <br /> Samp Date Time as as U cc7 f <br /> Location Description ° o <br /> ° �' '" x°' �—,�, <br /> Num Sampled Sampled O N -: <br /> [ <br /> c is. <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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