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WP0044550
EnvironmentalHealth
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LEMON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044550
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Entry Properties
Last modified
8/26/2024 1:23:59 PM
Creation date
8/15/2024 8:34:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044550
PE
4378
STREET_NUMBER
28424
Direction
E
STREET_NAME
LEMON
STREET_TYPE
AVE
City
ESCALON
Zip
95330-
APN
24911025
ENTERED_DATE
5/17/2023 12:00:00 AM
SITE_LOCATION
28424 E LEMON 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 /> ENV1R0NMnTM AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> Milli Nil 10 1111111111111111N M M 1 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 <br /> 1868 East Hazelton Ave. A <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: * °4 <br /> Contact Person: Scott Sangalang tV9W 114 4 550 0 y ¢ w <br /> Project Name:2$LJ7,L1 JevAovi Avmt &CcA*--e.• <br /> Purchase Order Number: w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) E Z DCn <br /> A <br /> * a 1 x <br /> Ad <br /> Q`' o <br /> Sampling Fee: Pickup Fee: 5 °" � °�� E" <br /> ca c <br /> A.!3 � ell <br /> Compositor Setup Date: I I Time: 1 E z 0 a z L O -3. E <br /> v� E o. z ii. A F- <br /> lab Number: STKA6lo El I 3-17919 o <br /> b w a •• <br /> o ao E i!.=r F u , <br /> Samp Location Descri tion Date Time Q. =o c '°x -a <br /> Num p Sampled Sampled F, a c a 'O U V N w w w <br /> 1 tiv'e U 1�tea �r!«Zy 12,(/ G DW 1 1,1 t-63 cI t <br /> T-1 I I <br /> Remarks: Relinquished Date: Time: Relin Dte: Time: Relinquished Date: Time: <br /> '-�zr ! 4 1-10Z &L-s-, (F�rft)14 ilc5b <br /> Receiv y: F/DTime: Receive By: te: Time: Received By: Date: Time: <br /> .sou �s 2 2 <br /> � � 12o <br /> Coraorate Offices&Laboratory Office&Laboratoly 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 /> •(P 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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