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WP0044244
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044244
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Entry Properties
Last modified
4/29/2024 8:54:04 AM
Creation date
10/9/2023 10:42:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044244
PE
4378
STREET_NUMBER
20087
STREET_NAME
ELLIS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24714021
ENTERED_DATE
2/3/2023 12:00:00 AM
SITE_LOCATION
20087 ELLIS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 35730:11/01/2023 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:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> a <br /> Phone: (209)468-3452 Fax: tw <br /> * _ <br /> Contact Person: Scott Sangalang <br /> Project Name:200aj R`15 'J.155ccd0 ) O U5 Cn° <br /> Purchase Order Number: P y 4 Z1,{� a <br /> Quote Number: ST 20160309-01 y � ¢ .. <br /> ° .. E t•- <br /> Sampler(s) Cn Z Oa <br /> x <br /> o O c a Q <br /> Sampling Fee: Pickup Fee: a ° <br /> Compositor Setup Date: l I Time: I & z Oa ..z O <br /> cc E c� or. gzCd w� A <br /> K 1799 3 a.ab Number: STa <br /> o 911 <br /> 'a <br /> Samp Date Time 6 x <br /> a Ea- <br /> . <br /> c E :2 x 'o b <br /> Location Description Sam " '' ° �° cc <br /> Num led Sampled "'�' <br /> P P 2 F a pa m O U.� u cv is._. i3. 914 <br /> 111 2CI-23 11.44 G DW 1 1,1 t! I0 it3 5b 11'.1`_ <br /> Remarks: Relinquished Date: Time: Relinquished Date: "ime: Relinquished Date: Time: <br /> fi �ai5 11)-2olZ3 <br /> Received By. Date: Received By: Date: Time: Received By: Date: Time: <br /> _7'?)S> �\- -IiL �L <br /> Corporate Offices&Laboratory Office&L.aboratorv_ 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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