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WP0038194
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038194
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Entry Properties
Last modified
6/10/2019 3:57:05 PM
Creation date
5/24/2019 3:28:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038194
PE
4366
STREET_NUMBER
21268
Direction
E
STREET_NAME
AVENA
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20523001
ENTERED_DATE
4/27/2018 12:00:00 AM
SITE_LOCATION
21268 E AVENA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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ENVIRONMENTAL <br /> Special C�wwOfgl CUSTODY <br /> Analytical Chemists Field Copy (3 of 3) <br /> lil I it 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container.Preservative and Samp!in, information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. I t;' Z <br /> Stockton,CA 95205 3 c I <br /> Phone: (209)468-0331 Fax: w 3 v <br /> Contact Person: Rodney Estrada L E <br /> C w I <br /> Project Name: <br /> Purchase Order Number: a w <br /> (Quote Number: ST 20160309-01 o a ¢ 00 <br /> `� N <br /> E o F <br /> Sampler(s) z T O O <br /> 0 W <br /> Sampling Fee: Pickup Fee: _ E a t a Z U.) :D <br /> c v o -5v-4 <br /> Compositor Setup Date: / /_ Time: / E z O C n o— z <br /> v c G z w Ca F� <br /> Lab-Number: STK 3-17919 0 a n• w U = x = x x <br /> a a <br /> i .� •o 'z5w .11 U& -E r. ya F- II <br /> SampDate Time o y x <br /> Num Location Description Sampled <br /> S <br /> Sampled <br /> P f- a caC Ur C7c� w -: s <br /> 1 G DW <br /> i <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> I <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laborato!T 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 /> 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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