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WP0039510
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039510
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Entry Properties
Last modified
1/6/2020 2:24:18 PM
Creation date
1/6/2020 2:20:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039510
PE
4380
STREET_NUMBER
26234
Direction
E
STREET_NAME
MAHON
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22702030
ENTERED_DATE
4/15/2019 12:00:00 AM
SITE_LOCATION
26234 E MAHON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Customer Copy i <br /> 2 of 3) <br /> :r <br /> j, 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative:and S mpling information <br /> Client: San Joag6in County EHD <br /> Address: San Joaq d n Co.Environmental Health Dep e <br /> Water Q lity Division 3 a <br /> Attn;Ro iey Estrada v x $ <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 cL <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3 <br /> Contact Person: Rodney Estrada A ¢ a <br /> Project Name: <br /> a <br /> Purchase Order Number: <br /> w ¢ � a a, <br /> Quote Number: ST 20160309-01 y _ <br /> c W a a�Ei E 000 F <br /> Sampler(s) U ; 2 fn a O <br /> x <br /> o O � dO W <br /> Sampling Fee:_ _ Pickup Fee: a °' c °'� a] <br /> Compositor Setup Date:_!_!_ Time:_/ E o z O o; n z <br /> e oM ,z <br /> Lab Number: STK 3-17919 b w ii T v a a n a <br /> 0 o <br /> Samp Date Time 6 o <br /> Location Description Sam " ' o <br /> Num led Sampled ° ° o <br /> P p E- a M m O U w <br /> -� O N tw=: ii <br /> I G DW <br /> Remarks: Relinquished Date: Tillie: 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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