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WP0040462
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 /> ENVtq <br /> RASpecial www.fgUnc.com <br /> Analytical Chernists, 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 Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> c7 Q 3 <br /> Contact Person: Rodney Estrada Q 23 a <br /> Project Name: vWi ti ro <br /> Purchase Order Number: �' n <br /> Quote Number: ST 20160309-01 <br /> 000 F <br /> Sampler(s) 0 N z T O Q <br /> * x <br /> ou O �vW�i ¢MO W <br /> Sampling Fee: Pickup Fee: <br /> IL rA cNa i ri .o Z Y ai <br /> Compositor Setup Date: /_/ Time:_/ Z O o z w Ca <br /> 0 <br /> Lab Number: STK 3-17919 <br /> Samp Location Description Date Time v a o S N = o. <br /> Num Sampled Sampled 'D FT a pa O U u, u, <br /> 1 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&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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