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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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A ---_ CHMN OF CUSTODY <br /> - , Spey-ial www.fgUnc.com <br /> Field Copy (3 cf 3 ' <br /> _a <br /> III�IIIIIIIIIIIIIIII'I'IIIIIII�IIIIIIIr� 35730:02/06/2017 TEST Di`{SCRIPTION - See Reverse side for Container, Preservative and Sampling inftl'motion <br /> Client: San Joaquin County- HD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Divisi(it 3 a <br /> Attn: Rodney Estrada cx <br /> 1868 East Hazelton A-;e. 3 <br /> Stockton,CA 95205' <br /> a <br /> Phone: (209)468-0331 Fax: y <br /> x <br /> Contact Person: Rodney Estrada Q d <br /> = x <br /> Project Name: `t ° <br /> a <br /> Purchase Order Number: y on ui <br /> Quote Number: ST 20160309-01 0 ¢ a <br /> E o F <br /> a W G y' <br /> Sampler(s) E z > O Q <br /> Sampling Fee: Pickup Fee: E ° v o <br /> N M y <br /> Compositor Setup Date: / / Time: / R °J z O Q Z O y z a E <br /> E N� o � c Q E <br /> Lab Number: STK 3-17919 0 a a tl > a a c c <br /> Samp Location Description Date Time o o N c n <br /> Num Sampled Sampled F w w w O U-- O <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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