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WP0039982
EnvironmentalHealth
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120 (STATE ROUTE 120)
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039982
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Entry Properties
Last modified
11/19/2024 4:01:49 PM
Creation date
10/29/2020 4:25:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039982
PE
4378
STREET_NUMBER
27052
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
22737017
ENTERED_DATE
8/20/2019 12:00:00 AM
SITE_LOCATION
27052 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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- -_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 fl <br /> v <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> Contact Person: Rodney Estra <br /> Project Name: 21U 2 3� a CIO <br /> Purchase Order Number: S to <br /> Quote Number: ST 20160309-01 <br /> E F. <br /> Sampler(s) ( o z <br /> G p., <br /> Sampling Fee: Pickup Fee: 5 <br /> c „ o L u U <br /> Compositor Setup Date: /_/ Time: 1 E z O <br /> Ca <br /> Lab Number: STK 3-17919kn <br /> 0 a a p <br /> lamp Date Time ¢ o 5 s Qc� E <br /> Location Description <br /> Num Sampled Sampled c <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished c�Date: tt 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&Laboratoryi 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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