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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
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TSok
Tags
EHD - Public
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IML CHMN OF CUSTODY <br /> ENVIRONMENTAL -- AGRICULTURAL Special www.fgunc.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 Quahty Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> t.� w <br /> Contact Person: Rodney Estrada d <br /> � a cG <br /> Project Name:," 1Cj ?14 �\Y`lY \dLv rn <br /> Purchase Order Number: - r`• -'' '• ' (� �' V w v� ,a, W <br /> Quote Number: ST 20160309-0100 <br /> a E o F <br /> Sampler(s) U z w ]O A <br /> v, a p <br /> 0 0 •5PL-� Qp W <br /> Sampling Fee: Pickup Fee: g a c S a" o f <br /> Compositor Setup Date: Time: / E a z p a 0 7 „0 O 0 Z E <br /> z z <br /> Cd <br /> Lab Number: STK 3-17919 0 ii o U x N x x <br /> 0 F II 0."0 a <br /> Samp Date Time -9p 15 '6o a o b <br /> Location Description Sam °' ' ° ° ° <br /> Num Sampled Sampled <br /> P p F LL CC W O U <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 /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office 8,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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