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WP0040448
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040448
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Entry Properties
Last modified
11/19/2024 4:01:49 PM
Creation date
3/24/2020 1:23:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040448
PE
4380
STREET_NUMBER
29924
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
22925040
ENTERED_DATE
1/14/2020 12:00:00 AM
SITE_LOCATION
29924 HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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-= CHMN OF CUSTODY <br /> ENVIRONMENTAL-- AGRICULTURALSpecial www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A d <br /> Project Name:,���,�1 tt Hwy w <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> GL W Q E" 000 F <br /> Sampler(s) o vi z O A <br /> U * rne. O <br /> 6% `]a eA er f) ¢ x <br /> Sampling Fee: Pickup Fee: 9 a° O o a O o f <br /> n 0 0 �'� v a" dz <br /> Compositor Setup Date:_/_/_ Time:_/_ E z O d o z z 0 A <br /> 0 <br /> Lab Number: STK 3-17919 0 a a U x x <br /> F II a a <br /> amp Date Time <br /> Num Location Description Sampled <br /> led Sam " ' o �' ° <br /> PE- a A 8 O U-- 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> f �- <br /> � <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> _ L 1 ;� <br /> Corporate Offices&Laboratory Office&Laborato Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 25'00 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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