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WP0044244
EnvironmentalHealth
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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 Cxmri OF CUSTODY <br /> P www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL Customer Copy (2 of 3) <br /> Analytical Chemists <br /> IIIIIIII�IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII�II 35731:08/02/2021 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 a <br /> Attn: Michael Kith p <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> v <br /> Phone: 209)468-3444 Fax: x <br /> ( � w 3 <br /> Contact Person: Michael Kith Q ¢ a <br /> a <br /> Project Name: �? <br /> )� 61 QdC? <br /> 3 <br /> Purchase Order Number: <br /> Quote Number: 't _V "� Y a a `" <br /> a W a v F UW <br /> Sampler(s) o z > O q <br /> U <br /> Sampling Fee: Pickup Fee: E t' o o< <br /> � c Q <br /> Compositor Setup Date: / / Time: / E z O a w <br /> M E o� <br /> Lab Number: STK 3-17919 0 a a j <br /> 0 0 <br /> Samp Date Time -S �5 -E E <br /> Num Location Description Sampled Sampled H a° m w O cn'� <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received 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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