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WP0042812
EnvironmentalHealth
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ARTHUR
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042812
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Entry Properties
Last modified
10/4/2022 12:56:07 PM
Creation date
1/12/2022 9:33:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042812
PE
4370
STREET_NUMBER
23762
Direction
E
STREET_NAME
ARTHUR
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
229030110
ENTERED_DATE
12/8/2021 12:00:00 AM
SITE_LOCATION
23762 E ARTHUR RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL, AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Custome�.CJ)py (2 of 3) <br /> 35731:08;02/2021 TEST DESCRIPTION - See Reverse side for Container,PreserAive'and Sampling information <br /> -lient-. "',San Joaquin County EHD <br /> kddres&San Joaquin Co. Environmental Health Dep <br /> I Water Quality Division <br /> 'Attn:Michael Kith y a <br /> 1868 East Hazelton Ave. 3v <br /> Stockton,CA 95205 a <br /> ?hone: (209)468-3444 Fax: x <br /> 00 <br /> 2ontact Person: Michael Kso +,` -\ J,\\ A ¢ 2 <br /> a w o <br /> ?roject Name: <br /> ?urchase Order Number: <br /> quote Number: <br /> 04 <br /> Sampler(s) o vwi z >, <br /> O Ca <br /> U * = G _ <br /> o O •a vai ,� <br /> Sampling Fee: Pickup Fee: n <br /> C p z Q <br /> Compositor Setup Date: / / Time: /_ E �, z p a a w <br /> v� E o rn <br /> Lab Number: STK 3-17919 0 4% a c. w M j <br /> ;amp Date Time -S p '� E <br /> Num Location Description Sampled Sampled � E'. a ca M O rn� <br /> G DW Sub-3 <br /> temarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> � } \ w., <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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