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WP0039121
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039121
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Entry Properties
Last modified
4/1/2022 1:11:44 PM
Creation date
4/1/2022 12:09:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039121
PE
4378
STREET_NUMBER
20102
Direction
S
STREET_NAME
DAHLIN
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24713026
ENTERED_DATE
12/18/2018 12:00:00 AM
SITE_LOCATION
20102 S DAHLIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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PUL <br /> Special CHAIww F CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> p fgUnc.com <br /> Analytical Field Copy'.(3 of 3) <br /> a o <br /> IIIINIII IIIII IIIII II IIIII 111111 11111111 IIIII IIIII IIII IIII 35730:02/06/2017 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 a <br /> Attn:Rodney Estrada y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> En <br /> C7 A 3 <br /> 00 � <br /> Contact Person: Rodney Estrada <br /> Project Name: — ' , i , ti a �n <br /> x 3 0. —• <br /> Purchase Order Number: ¢ a <br /> Quote Number: ST 20160309-01 w <br /> W is, Ei F co E~ <br /> Sampler(s) c z a�T � Q <br /> s. U * a `� a w x <br /> aC)^ .5i Q co" <br /> Sampling Fee: Pickup Fee: 5 ; c <br /> Compositor Setup Date: / / Time: / , z p a a z <br /> --- -- v� E o� c; 5z w A F- <br /> Lab Number: STK 3-17919 o w <br /> Samp Date Time Q o " C7 <br /> oc� iLocation Description <br /> Num H led Sam led %x <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date. Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 1+me: <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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