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WP0042339
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4300 - Water Well Program
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WP0042339
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Entry Properties
Last modified
9/19/2022 4:14:12 PM
Creation date
2/17/2022 2:39:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042339
PE
4370
STREET_NUMBER
20911
Direction
E
STREET_NAME
BUSHKA
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20509022
ENTERED_DATE
7/26/2021 12:00:00 AM
SITE_LOCATION
20911 E BUSHKA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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S ecial CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUML p www.fglinc.com <br /> Analytical Chemists <br /> Laboratory Copy (1 of 3) <br /> II <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side forContainer, Preservative and Sampling information <br /> Client:: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada a <br /> a <br /> 1868 East Hazelton Ave. 7 <br /> Stockton,CA 95205 " <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada b Q <br /> Project Name: <br /> Purchase Order Number: <br /> w <br /> Quote Number: ST 20160309-01 N <br /> ¢ a ua <br /> x E o F <br /> Sampler(s) E w z °p Q <br /> Sampling Fee:_ Pickup Fee: c a n x F <br /> M <br /> Compositor Setup Date: / / Time: / E az O v = c° O 'z = E <br /> a oz Cz <br /> Lab Number: STK 3-17919 0 CIO ? a a a a <br /> Samp Date Timea =o c of b x <br /> Num Location Description Sampled Sampled " ' ° ° ° '� n <br /> G DW <br /> Remarks: Relinquish Date: Time: Relinquishe Date: Time: Relinquished Date: Time: <br /> Received B ate: Time: Received By: Date: Tim . Received By: Date: Time: <br /> A6 I-Tub <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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