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SR0065527 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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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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CHAIN OF CUSTODY <br /> VOLENVIRONMENTAL Special www.fgUnc.com <br /> Analytical Chennists Laboratory Copy (i of 2) <br /> �IIIIII I III IIIII '�II 'II IIIIII II 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EIJD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division C <br /> Attu:Scott Sanglaang 6 °d <br /> 1868 East Hazelton Ave. W <br /> Stockton,CA 95205 3 W <br /> u <br /> Phone: (209)468-3452 Fax: c <br /> 0 ^Sj Z� <br /> Contact Person: Scott Sangalang S� A6 'm y <br /> Project Name: l"a A <br /> Purchase Order Number: W < h <br /> Quote Number: .o x E <br /> n w Ow <br /> Sampler(s) o H z -2 O <br /> 14 <br /> U * = C <br /> Sampling Fee: / Pickup Fee: a ?' `u y'o a <br /> a m <br /> Compositor Setup Dale: Ti 1 E o, Z2 p a v Om <br /> y [� <br /> Lab Number: S rK 3 l l 3-17919 `o rn a <br /> > <br /> Same Location Description Date Time u r o m rJ- a c <br /> Num Sampled Sampled � E. c, m m 0 to v <br /> I lti+e(-( � cA /l jtj SG DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> �/ 5!t4lz� 6 5)nl2�, [' 0 GLS zo n <br /> Received By: Date: Time: Receiv, By: Date: Time: l Received By: Date: Time: <br /> 16" 5 3 6 l9/�o �/Od 2J4L s ZD z6 9.rs� <br /> Corporate Offices&Laboratory Office V Laboratory O ato 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:(806)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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