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WP0043977
EnvironmentalHealth
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SEXTON
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19693
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043977
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Entry Properties
Last modified
6/24/2024 3:06:04 PM
Creation date
5/29/2024 8:34:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043977
PE
4366
STREET_NUMBER
19693
Direction
S
STREET_NAME
SEXTON
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24511029
ENTERED_DATE
10/26/2022 12:00:00 AM
SITE_LOCATION
19693 S SEXTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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= Special CHMN OF CUSTODY <br /> . - - RA www..fgUnc.com <br /> ENVIAnalytical Chemists Customer Copy (2 of 2) <br /> II��IIII�IIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 Sanglaang y x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 Q <br /> Phone: (209)468-3452 Fax: <br /> Cj w 3 <br /> Contact Person: Scott Sangalang Q ¢ of <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 � <br /> a W a E F F <br /> Sampler(s) o vWi z > O Q <br /> U * 0 C O <br /> �r <br /> a oO .S� ¢O ° W <br /> Sampling Fee: Pickup Fee: E ° v o a.� <br /> c n F- <br /> �D <br /> omp 3z E <br /> Compositor Setup Date:_/_/ Time:_/ E n z O a z ;, ;-- <br /> ° c o c z <br /> E U x u 4 i— <br /> Lab Number: STK 3-17919 o w a a a a v xn o <br /> 0 o y ? F II <br /> Samp Date Time ' d 'cr 2 x-: b. a <br /> " °Location Description Sampled Sampled u " v C = <br /> Num od O <br /> t G DW <br /> Da e: �— "1'itl: jReiinqt isl:c@ Date: Time: Relinquished Date: Time: <br /> +.. t <br /> 3 5/r X036' <br /> hate: Tim.^.: Recaived Py: 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 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/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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