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WP0044744
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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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHAM OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL I <br /> www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIII'�IIIIIIIIIIIIIIIIIII�IIIII 35731:01/01/2024 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 /> Arm:Scott Sanglaang 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3452 Fax: <br /> ou <br /> Contact Person: Scott Sangalang Q Q <br /> Project Name: <br /> Purchase Order umber: <br /> Quote Number: u <br /> E <br /> Sampler(s) / U 'n 00 <br /> .� C <br /> bD �° O v: O <br /> Sampling Fee: Pickup Fee: 5 � o a <br /> o o .5 w'v U <br /> Compositor Setup Date:_/_/_ Time:_/_ E E. z O <br /> v: E oQ <br /> Lab Number: STK 3-17919 0 � a, o6 w p <br /> o ° v F . >_ <br /> Samp Date Time S n ° Q E <br /> Num kation Description Sampled Sampled � H a° cc we 0 w a <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: (Relinquished Date: Time: Relinquished Date: Time: <br /> I( <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 /> I <br />
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