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WP0044244
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELLIS
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20087
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044244
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Entry Properties
Last modified
1/2/2025 7:58:46 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 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
20087
STREET_NAME
ELLIS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24714021
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
20087 ELLIS RD ESCALON 95320-
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 3 <br /> Attn: Scott Sanglaan¢ cG <br /> 1868 East Hazelton Ave. <br /> 'L <br /> ct1 U <br /> Stockton,CA 95205 3 =° <br /> ami <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang <br /> C7 W ``v o <br /> Project Name: ��U! V) <br /> x 3 <br /> Purchase Order Number: > u <br /> Quote Number: ST 20160309-01 z ¢ z <br /> Sampler(s) 1�] � J 4 ~i� o vW z n p Q <br /> o O C: ¢O W <br /> a <br /> Sampling Fee: Pickup Fee: S <br /> c <br /> 0 <br /> Compositor Setup Date: r / Time: 1 E z p x = <br /> 0 <br /> Lab Number: STK 3-17919 <br /> Samp Location Description Date Time y Q o o C:) <br /> v oma—, y v <br /> Num Sampled Sampled 5 F- n cn w O <br /> I I G DW I I,1 <br /> Remarks: I Relinquished Date: Time: Relinquished Date. Time: Relinquished Date: Time: <br /> Received By: Date: Time: Rccei,ed By: Date: Time: �Recewed By: Date: Time: <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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