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WP0041300
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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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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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 11111111111111111111111111111111111111 IN 1111 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 /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> CL <br /> Phone: (209)468-0331 Fax: <br /> op <br /> Contact Person: Rodney Estradai <br /> t� <br /> Project Name: �� �t1 1 O rc' ie N e O vwi w <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01ua ¢ V) a <br /> o: E o h <br /> Sampler(s) E w Z °O A <br /> o Cn > O a. .a <br /> L ,C' �Lt U * o x <br /> o p Q-0 ° W <br /> Sampling Fee: Pickup Fee: e or o a" �] <br /> Compositor Setup Date:_/ / Time: / E fl z p x = O z <br /> cn E oZ Gz w Q F- <br /> Lab Number: STK 3-17919 0 ii a ' U x N= x x <br /> > E a a F II n a <br /> O ..., <br /> Samp Date Time � U '� ° of c E x <br /> Location Description ws <br /> P ' P Sampled d <br /> d Sam led " ' ° O <br /> Num ° c <br /> H w cG CA O U C7 N <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1- <br /> Received <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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