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WP0042715
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042715
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Entry Properties
Last modified
8/5/2022 2:53:42 PM
Creation date
6/10/2022 1:42:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042715
PE
4378
STREET_NUMBER
16587
STREET_NAME
SEXTON
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20526002
ENTERED_DATE
11/2/2021 12:00:00 AM
SITE_LOCATION
16587 SEXTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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OWN OF CUSTODY <br /> FGL <br /> RAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> s <br /> � a <br /> I111111I111II1I1III11IIIII IIIIIIIIIII IIIII IIIII IIIII IIIIIIII 35730:02/06/2017 TEST DESCRIPTION - See Reverse side f6r Container,Preservative and Sampling information L. <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep ' <br /> Water Quality Division a f <br /> Atm:Rodney Estrada Y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 ° <br /> a <br /> a� <br /> Phone: (209)468-0331 Fax: w a: <br /> Contact Person: Rodney Estrada ca A Q <br /> u 7 <br /> Project Name: vwi °,v <br /> Purchase Order Number: CU <br /> Quote Number: ST 20160309-01 o <br /> a W p^ E F= 00 E- <br /> Sampler(s) j * v O ° p <br /> x <br /> 0 w <br /> Sampling Fee: Pickup Fee: <br /> °O az ;' E <br /> Compositor Setup Date:_/_/ Time: o,_! Z 2 <br /> O d a c z „z Q <br /> 0 <br /> x u.V' <br /> Lab Number: STK 3-17919 0 a a a U <br /> o �a F II a a <br /> Samp Location Description Date Time p, o 5 '5 a o o a <br /> Num Sampled Sampled E. a. ca w O U-• C7 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Timr: <br /> -- Received By: Date: I ime: Received By: Date: Time: Received By: Date: Timc: <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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