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WP0041300
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041300
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Entry Properties
Last modified
12/31/2020 8:37:06 AM
Creation date
12/31/2020 8:28:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041300
PE
4366
STREET_NUMBER
28979
Direction
E
STREET_NAME
ORANGE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24920017
ENTERED_DATE
10/2/2020 12:00:00 AM
SITE_LOCATION
28979 E ORANGE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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j a CHAIN OF CUSTODY <br /> ENVIRONMENTAL 6'AGRICULTURAL Special 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. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q Q <br /> � x <br /> Project Name: <br /> Purchase Order Number: ; d N a <br /> Quote Number: ST 20160309-01 a o <br /> Sampler(s) to N z % O 0 Q <br /> * 0 x a x <br /> 0. <br /> bqO 'C O W <br /> Sampling Fee: Pickup Fee: E °C v o'ro ° � n <br /> Compositor Setup Date: / / Time:_/ E a z p cG v z Oz z E <br /> E o o E is A F <br /> Lab Number: STK 3-17919 0 E ¢ E m x <br /> E <br /> Samp Location Description Date Time a o 5 S o N � c v <br /> Num Sampled Sampled a C1 M O U- C7 <br /> I 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 />
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