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WP0043254
EnvironmentalHealth
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ESCALON BELLOTA
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13035
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043254
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Entry Properties
Last modified
8/30/2023 4:33:09 PM
Creation date
5/1/2023 11:11:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043254
PE
4378
STREET_NUMBER
13035
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20719034
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
13035 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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FG7 'L <br /> CHAIN QF CUSTODY <br /> ENVIRONMENTAL AGRICUI:FURAL <br /> Special ww ^,.fgHnc.com <br /> Laboratory Copy (1 of 3) "" <br /> ;} <br /> 11111111111111111111111llglllllllllll� '35730.02/116/2017 TEST DE'rRiFTION - See Reverse side tier Container,Preservative and Sampling infor'�ation i <br /> Client: San Joaquin County ID <br /> Address: San Joaquin Co.Envire�tmental Health Dep <br /> Water Quality Divisio <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton AO <br /> Stockton,CA 95205'.. <br /> Phone: (209)468-0331 ,Fax: C7 C ^ <br /> Contact Person: Rodney Estrad4 Q <br /> Project Name: Slfi l O1^ <br /> m <br /> ,����' � <br /> Purchase Order Nuer: � ^ a <br /> � �,�,(�'�� U W rn W <br /> Quote Number: ST 20160309-01 y <br /> c, ^ <br /> .. F <br /> Sampler(s) c V)z T <br /> A <br /> a. Q 0 <br /> Sampling Fee: Pickup Fee: a' O c a. o.H <br /> t~ <br /> Compositor Setup Date: I I Time: I a z p a � <br /> va E w cc U <br /> Lab Number: STK��. IJ6 3-17919 8 a o n o a <br /> LC i- <br /> lamp Date Time IS 'z 'Z E f <br /> Location Description � o <br /> °NUoNum Sampled Sampled 2 F a� MaO U- 7 N w ' u <br /> w <br /> G DW <br /> Remarks: Relinquished Date: Time: elfin fished Da Time: Relinquished Date: Time: <br /> 17•Vl 170"0 U,cK 4te/13 r I,? <br /> Recetyed g)e, Time: Re ed By: J te: Time: Received By: Date: Time: <br /> a'� G <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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