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WP0040545
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040545
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Entry Properties
Last modified
12/27/2021 2:36:55 PM
Creation date
10/19/2020 11:21:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040545
PE
4378
STREET_NUMBER
18450
Direction
E
STREET_NAME
DODDS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20504002
ENTERED_DATE
2/20/2020 12:00:00 AM
SITE_LOCATION
18450 E DODDS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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- — CHAiri OF CUSTODY <br /> ENVIRONMENTAL-- AGRICULTURAL I <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> III I IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII 3;730:02/06/2017 TEST DESCRiPT,tON - 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 w <br /> Atm:Rodney Estrada Q. <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> a <br /> v <br /> Phone: (209)468-0331 Fax: <br /> t.7 w 3r- <br /> Contact Person: Rodney Estrada <br /> Project Name: \SAS(D ? o <br /> Purchase Order Number: U ; Q a ua <br /> ,Quote Number: ST 20160309-01 o w !' N <br /> E o H <br /> Samplierr((st)c� E w z O0Cn <br /> A <br /> Sampling Fee: Pickup Fee: S ? a N x F <br /> c U) a� <br /> Compositor Setup Date: / / Time:_/_ a z p 0 z E O- �, Z E <br /> z <br /> I Lab Number: STK 3-17919 o v2 ji o v oo x N x <br /> o v H a� � a ma. H II <br /> am1 p Date Time ^U�E Cc7NE =: w w= <br /> Location Description l' <br /> Num Sampled Sampled ° d <br /> vz,%ri G DWL <br /> 1 1,1.1 S �Zlde <br /> i <br /> Remarks: Relinquished Date: Dime: Relinquished Date: Time: m is ed D te: Tie: <br /> eived By: Date: Time: ReceX110 <br /> y:� Date: Time: R ei d Date: Time: <br /> L15 1Z4 IZ <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&LaboratoryOffice&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, uite 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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