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WP0040462
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040462
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Entry Properties
Last modified
6/5/2020 10:56:27 AM
Creation date
3/24/2020 1:41:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040462
PE
4378
STREET_NUMBER
18339
Direction
S
STREET_NAME
SEIDNER
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
22925026
ENTERED_DATE
1/21/2020 12:00:00 AM
SITE_LOCATION
18339 S SEIDNER AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENWRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chernists 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 /> Atm: Rodney Estrada y a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada N ¢ 7 <br /> Project Name: �, S `(,' I d <br /> CA� <br /> Purchase Order Number: u l o CA �S 5 rx uw <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) n w a g oo Ca <br /> E w z N <br /> o v> T O .7 <br /> Sampling Fee: Pickup Fee: c " ;, o , ° rqa <br /> Compositor Setup Date: / /_ Time: / `E z p c`a o Z Cz Z <br /> 0 <br /> Lab Number: STK 3-17919 0 C a 0. U x x x <br /> o > y� Ea <br /> 0 0 <br /> SampDate Time a o ro o N C �°�'o 7; —, �, <br /> Num Location Description Sam led Sampled P P F- a m oG O U— O N is.-: is w <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ' 7) fir,' �1► !!I , , ;, <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 /> I <br />
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