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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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-- 2 - UUM OF CUSTODY <br /> EMVIRONMENTACIr- AGRICULTURAL <br /> Special wumfgUnc.eom <br /> Analytical ChcmistS Laboratory Copy (1 of 2) <br /> 35731:01/01/2024 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County ERD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Scott SanglaangES- <br /> 1868 East Hazelton Ave. <br /> Stockton.,CA 95205 3 a. <br /> Phone: (209)468-3452 Fax: w rAho <br /> _ x <br /> Contact Person: Scott Sangalang <br /> E M <br /> Project Name: Q ��i O a cc w z <br /> Purchase Order Number: f� U w <br /> L(J1041 7 4Y ' a N a <br /> Quote Number: y �- <br /> .. E <br /> Sampler(s) Ew z h <br /> Sampling Fee: Pickup Fee: 5 �,, z o= c c a <br /> x <br /> Compositor Setup Date: I l Time: I 8 A <br /> E <br /> Lab Number: STK 3-17919 0 a a Q <br /> c o � H 00 <br /> amp Location Description Date Time ccc cc ¢CL,c <br /> Num Sampled Sampled X E., a c4 A O w rr <br /> G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Z; 516 <br /> Awr4�e —✓� t i� ��`fL 1�� GCS 5 712-(-1 <br /> Received By: Date: Time: Receive BW. Date: Time: Received By: Da Time: <br /> Corporate Offices&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 93050 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)525-41721 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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