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WP0045027
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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22392
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045027
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Entry Properties
Last modified
11/19/2024 4:01:51 PM
Creation date
1/31/2024 3:16:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045027
PE
4370
STREET_NUMBER
22392
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
24509017
ENTERED_DATE
11/6/2023 12:00:00 AM
SITE_LOCATION
22392 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL ACiRICULTURALSpecial www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County END <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: t' <br /> � a <br /> Contact Person: Scott Sangalang <br /> Project Name: 7'7'1JCIZ Ckk 710`�t L.A a ;, cn <br /> Purchase Order Number: �3 <br /> Quote Number: ST 20160309-01 C4 <br /> E A <br /> Samplers) n uO a 'a <br /> 1-GhG.' l,elfl�j a o <br /> Ga ¢_0 <br /> Sampling Fee:_ Pickup Fee:_ 5 ° 'o °'r4 o j <br /> o p <br /> Compositor Setup Date:_/_/_ Time: /_ z O e o z z A 8 <br /> ,, w Uvii U <br /> Lab Number STK 3-17919 o w a a v a s n a <br /> v o a <br /> Samp Location Description Date Time v T o ra o E N aCi E in c w <br /> Num Sampled Sampled 2 E, a co as O U-. 0 N Vr _c:/ V. •tz. <br /> 1 t;,vel 16t�v` 41` I G DW 1 1,1 .J!� VA C-1 <br /> iRe:nart,;: Rclincuishcl Dat,:: Tine: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: mate: Tim_` Received By: Date: Time: Received By: Date: Ti <br /> Comorate 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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