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SR0077188
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077188
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Entry Properties
Last modified
6/12/2019 4:23:18 PM
Creation date
12/2/2017 9:04:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077188
PE
4370
STREET_NUMBER
30065
Direction
E
STREET_NAME
LEE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
24907033
ENTERED_DATE
4/11/2017 12:00:00 AM
SITE_LOCATION
30065 E LEE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
FilePath
\MIGRATIONS\L\LEE\30065\SR0077188.PDF
QuestysFileName
SR0077188
QuestysRecordID
3365330
QuestysRecordType
12
Tags
EHD - Public
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- -_ CHAIl`l OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 1111 A 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaqain County EHD <br /> Address: San Joaauin Co.Epvironmental Health Dep <br /> Water Quality Division i <br /> Atth:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: 0 & <br /> Purchase Order Number: �—Y v w <br /> Quote Number: ST 20160309-01 o a <br /> E o00 <br /> H <br /> Sampler(s) U vim, A <br /> a <br /> � � aM $ x <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E z p n' <br /> oz 8 <br /> Lab Number: STK 3-17919 0 0 x <br /> "p� tn <br /> a x x <br /> 0 0 H a 6 o Q w F II a a <br /> Samp Date Time 6 �, .0 -Z =o c ^x :9 b <br /> Num Location Description Sampled Sampled " '' o d 9'Q o °' <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Tinne: Received By: Date: I`ime: <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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