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WP0040110
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAN ALLEN
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17327
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040110
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Last modified
3/24/2020 1:18:30 PM
Creation date
3/24/2020 1:10:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040110
PE
4380
STREET_NUMBER
17327
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20508025
ENTERED_DATE
9/23/2019 12:00:00 AM
SITE_LOCATION
17327 S VAN ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAiri OF CUSTODY <br /> MAMM <br /> Field Copy (3 of 31� <br /> 7 TEST D'ISCRIPTION See Reverse side for Container. Preservative and Sampling info�'-mation <br /> Client: San Joaquin County -.,HD <br /> Address: San Joaquin Co. Envi.onmental Health Dep <br /> Attn: Rodney Estrada: <br /> 1868 East Hazelton A-.,Ie. <br /> Stockton.CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Lu <br /> Project Name: V) <br /> Purchase Order Number: w <br /> Quote Number: ST 20160309-01 C4 — <br /> lu 00 <br /> Compositor Setup Date: Time: z 0 0 E <br /> Lab Number: STK 3-17919 <br /> Location Description <br /> 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 /> Corgorate Offices&Laboratory Office&Laborato[y Office&Laborato[y Office&Laboratoly Office&Laboratoa <br /> annCorporation Street znou Stagecoach Road 563s.unuo 3442 Ernpresa Drive,Suite VwnvxGoshen Avenue <br /> Santa Paula,CAn3n8o Stockton,CAe*u10 Chico,CA8582o San Luis Obispo,n*934O1 Visalia,CAe3ce1 <br /> Phone: ( 9e'2008 82 Phone:(530)343-5818 Phone:(805)703-2940 Phone: ra <br /> Env Fax:(8on)5uo41ru/AgFax:(8O5)38o'uosu Fax:(2O8)84z'&^un Fax:(53U)34o'3uU7 Fax:(80n)r83-2910 Fax:(55e)734'u400 <br />
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