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SR0065527 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SEIDNER
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17947
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4200/4300 - Liquid Waste/Water Well Permits
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SR0065527 (2)
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Entry Properties
Last modified
6/4/2026 9:02:44 AM
Creation date
5/28/2026 3:32:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
SR0065527
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
17947
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22925047
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
17947 S SEIDNER AVE ESCALON 95320
Tags
EHD - Public
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CHmri OF CUSTODY <br /> FIGL Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL I <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> II II II I I I IIIII IIIII III I I II II 35730:11/O1/2023 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 -� <br /> Attn:Scott Sanglaang <br /> 1868 Fast Huelton Ave. 3 <br /> Stockton,CA 95205 tO <br /> c <br /> Phone: (209)468-3452 Fax/vtco6:155 <br /> s` <br /> Contact Person: Scott Sangalang Cj 55Z / <br /> I79Lt J. Se a I <br /> Project Name: IdKz 'O1 Xot O to m roo <br /> x 3 a <br /> Purchase Order Number: > m Y V cu <br /> Quote Number: ST 20160309-01 <br /> 0 <br /> Sampler(s) E h z p ^ <br /> O <br /> ¢0 <br /> Sampling Fee: Pickup Fee: <br /> a y E <br /> Compositor Setup Dale:_/_/_ Time:_/_ E g z O =z 2 O v <br /> H E c2 tL O [— <br /> Lab Number: S;T 3 3 3-17919 v o F a 0 €a a F n n <br /> Samp Date Time S - 9 '� '� If °oo <br /> Num Location Description Sampled Sampled v " o iO w$ o N <br /> P P E~ a m R1 0 U-� C7 <br /> 1 (-ICli I/evc)! 511 111 G DW 1 1.1 �i !/ -cdA II116 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 5/14(Z4 V3216 19 /7 CSC.( S -U Z :SS <br /> Received By: Date: Time: Rece By: dA-ate: Time: Received By: Date: Time: <br /> 2b I3740 S 6/l9 1760 We s/z , -SS <br /> Corporate Offices& Laborato Office&WaboratoOffice&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress 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 /> Q Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> J I 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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