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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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CHMN OF CUSTODY <br /> RAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3 — <br /> 35730:02106/201"7 TEST DESCRIPTION See Reverse side for Container.Preservative and Sampling wim-n-Ation <br /> Client: San Joaquin Count AHD <br /> Address: San Joaquin Co. Enjonmental Health Dep <br /> Water Quality Divisi - <br /> Atm: Rodney Estradat x <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> 2 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: r, �' C7 w Y o <br /> Purchase Order Number: 5. <br /> U w w <br /> Quote Number: ST 20160309-01 o a ¢ x N <br /> Sampler(s) o vWi z > O A <br /> * CIO <br /> o O QO $ W <br /> Sampling Fee: Pickup Fee: 5 ?'N Q <br /> C1 y p .5 p,S'v 'U cd is <br /> Compositor Setup Date: /_/_ Time: /_ z p ii o z c Z w Ca <br /> Lab Number: STK 3-17919 0 vA is a U pq x <br /> o F P4 . <br /> lamp Date Time - n '� = <br /> Num Location Description Sampled Sampled " ' ° d t' <br /> a <br /> P P F a M IMO V C7N w -: LE u <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished 1)81 Time: Relinquished U❑re: Time: <br /> Received By:•. .- j iDate: Time: Received By: Date: Time: Received By: Date: Cinre: <br /> ,; , <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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