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WP0040865
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040865
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Entry Properties
Last modified
12/16/2020 1:19:03 PM
Creation date
8/7/2020 8:55:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040865
PE
4366
STREET_NUMBER
25715
Direction
E
STREET_NAME
MAHON
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
22702018
ENTERED_DATE
6/4/2020 12:00:00 AM
SITE_LOCATION
25715 E MAHON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
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_-__-__ CI IAIlY OF CUSTODY <br /> EMRONMENTAL ACIFUCULTURAL Special www.fglinc.com <br /> --Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIP'T'ION - 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 i <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: a_ <br /> C7 ud � <br /> Contact Person: Rodney Estrada A <br /> Project Name: 1 ' C7 vWi h <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> o W a aEi F 0 F <br /> Sampler(s) o h z wA <br /> U * aS o <br /> Sampling Fee: Pickup Fee: E <br /> Compositor Setup Date:_/_/_ Time:_/_ E �, z p a ?z ,��,O <br /> rn E Gv� or 5z w A H <br /> Lab Number: STK 3-17919 0 �% a ' 0 6 o4 <br /> o = H xo fie: <br /> Samp Date Time <br /> Location Description Description >, O M ca ^� ao <br /> Num Sampled Sampled O V <br /> u. <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: Received By: Datc: Time: <br /> Corporate Offices&Laboratory Of ry 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 />
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