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WP0039624
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039624
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Entry Properties
Last modified
10/10/2019 4:17:21 PM
Creation date
8/1/2019 9:29:14 AM
Metadata
Fields
Template:
EHD - Private
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039624
PE
4366
STREET_NUMBER
16724
Direction
S
STREET_NAME
LAWRENCE
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22904004
ENTERED_DATE
5/20/2019 12:00:00 AM
SITE_LOCATION
16724 S LAWRENCE RD
P_LOCATION
99
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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-_ CHAIIY OF CUSTODY <br /> ENVMONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 11111111111111111111111111111111111 IN 35731:02/06/2017 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 R <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> d <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada A j <br /> Project Name: )lo-7 24 1M29agaiv L 0 VV r "4c �Ld c7 vi � �° � <br /> Purchase Order Number: U u <br /> Quote Number: ST 20160309-01 <br /> f~ <br /> Sampler(s) o (A Z T O <br /> 0 �a <br /> Sampling Fee: Pickup Fee: °°' 5 a <br /> a <br /> Compositor Setup Date:_/ z_/_ Time:_/_ o O c <br /> ,n E c ti A <br /> Lab Number: STK 3-17919 0 a .. p <br /> amp Date Time <br /> Num Location Description Sampled Sampled � H a m pq p W <br /> 0 Travel Blank G LBW <br /> 1 G DW 4 <br /> Remarks: Rel* quiaashed Date: Time: Relinquished Date. Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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 /> 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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