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WP0037382
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037382
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Entry Properties
Last modified
5/28/2020 3:03:12 PM
Creation date
9/27/2019 4:50:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037382
PE
4378
STREET_NUMBER
28980
Direction
E
STREET_NAME
LEMON
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24911077
ENTERED_DATE
10/6/2017 12:00:00 AM
SITE_LOCATION
28980 E LEMON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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IML_ CHAIN OF CUSTODY <br /> ErIVIRbNMENTAL-- AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 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 3 a <br /> Atm:Rodney Estrada a; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: x <br /> c? w ContactPerson: Rodne Estrada <br /> Project Name: <br /> Purchase Order Number: ti (e,i h ( A,q <br /> Quote Number: ST 20160309-01 t• N a Q "' <br /> a W p^ F y ,Op F <br /> Sampler(sz 5 Ca <br /> o vWi a O p^, .a <br /> O p <br /> .50. ¢O `° w <br /> Sampling Fee: Pickup Fee: c ? c a n <br /> G c m v <br /> Compositor Setup Date:_/ /_ Time:_/ E fl z p a r z O Z e <br /> e o� o Gz w A F <br /> Lab Number: STK_ 3-17919 o w i% a b a a a a <br /> 0 0 ?? H fs O 2 H II <br /> =Samp Date Time -S I '= gLocation Description � o- lcu o ° x � <br /> 6 <br /> Num Sampled Sampled 0 O U <br /> 1 G DW <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 /> 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 /> 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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