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WP0038905
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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13883
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038905
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Entry Properties
Last modified
6/12/2019 4:27:09 PM
Creation date
11/7/2018 8:21:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038905
PE
4378
STREET_NUMBER
13883
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
207330060
ENTERED_DATE
10/18/2018 12:00:00 AM
SITE_LOCATION
13883 ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
Tags
EHD - Public
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---= CITRIN OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> IllWI 35730:02/06/2017 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 a <br /> Attn:Rodney Estrada Y <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 =' <br /> Phone: (209)468-0331 Fax: W a; <br /> Contact Person: Rodney Estrada A : 2 <br /> i 3 `*�� t�4,LL t.) <br /> Project Name: <br /> Purchase Order Number: <br /> °p a ua <br /> Quote Number: ST 20160309-01 o a ¢ rx o <br /> 00 <br /> Sampler(s) o z 00 A <br /> Ed <br /> Sampling Fee: Pickup Fee: o- a vNi o <br /> Gy T: <br /> Compositor Setup Date:_/_/_ Time:_/_ z p o z z 0� A F <br /> Lab Number: STK 3-17919 0 iz <br /> p '� 'II <br /> i Location Description Date Time �,' o .6 o N ,,, y o y <br /> "i u m Sampled Sampled E a w. ea O v'. C7 N is._: i1. rs. <br /> G DW 1 1,1>1 Cj A•� <br /> I <br /> Remarks: RelinquishedWk Qb`k$'\ Date: Time: Relinquished Date: Time: Relinquished Pate: me: <br /> \ N..".-f., �Aw I '�)ze, I <br /> Received By: Date: Time: Received By: 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 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Plaone: (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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