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WP0044744
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044744
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Entry Properties
Last modified
6/17/2024 2:21:35 PM
Creation date
10/23/2023 10:59:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044744
PE
4370
STREET_NUMBER
29209
Direction
E
STREET_NAME
ORANGE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24920024
ENTERED_DATE
8/9/2023 12:00:00 AM
SITE_LOCATION
29209 E ORANGE AVE
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.rglitnaeom <br /> Analytical Clwmists Laboratory Copy (1 of 2) <br /> N IIN�I�II U I 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 a <br /> Attn:Scott SanglaangES <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-3452 Fax: a4 <br /> V W 3 <br /> Contact Person: Scott Sangalang /� h <br /> Project Name: Z©Q /�/� ,/ <br /> Purchase Order C�t/ 46 U <br /> t "7� u W Q a <br /> Quote Number: ST 201 309-0 x <br /> E H <br /> Sampler(s) c z A <br /> A*625;��WN'!�) .0 <br /> x <br /> 5 <br /> Sampling Fee: Pickup Fee: <br /> ❑ oo z aj v <br /> Compositor Setup Date:_/_!_ Time:_/_ o z O E o o z Z „ E <br /> _ o <br /> Lab Number: STK 3-17919 o N U x u x x <br /> c 0 ^� F a0aa F II a a <br /> Samp Date Time •5 $, m '� =o of —x �' <br /> Num Location Description Sampled Sampled " '` c°�S o C. °' ' '' <br /> P )P F. rn oa O U - 0 C-4 it, <br /> ( � ffe [ G DW `� l� 1 1.1 <br /> i <br /> /l/�h/J��t(/T� Da;:.. Tis(. 1R,a cluis.ed Date: <br /> s_-4 Iz:tq - _ _ k tZO C"-/ s 5 7 z <br /> 3v: i <br /> Date: i itTtc: <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 9411 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 1 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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