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WP0041295
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041295
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Last modified
12/16/2022 2:37:29 PM
Creation date
9/15/2021 1:29:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041295
PE
4366
STREET_NUMBER
8615
Direction
S
STREET_NAME
VIA CARANO
STREET_TYPE
PL
City
ESCALON
Zip
95320-
APN
18740032
ENTERED_DATE
10/1/2020 12:00:00 AM
SITE_LOCATION
8615 S VIA CARANO PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF:,CUSTODY <br /> Special www.fggnc.com <br /> Customer Copy (2 of 3) <br /> VIII`iIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111 Jill 111135730:J2/06/2017 TEST DESCRII140N See Reverse side for Container, Preservative and Sampling informatiom <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environment Health Dep _ P <br /> Water Quality Division <br /> l Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: O a Cn <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 E W z E o E- <br /> F, °O A <br /> Sampler(s) v * _^= OOa' w p <br /> Sampling Fee: Pickup Fee: <br /> � a° � •a� a� $ pCF <br /> "O ° = E <br /> Compositor Setup Date:_/_/_ Time:_/_ fl z O G a o z z _ <br /> Lab Number: STK 3-17919 <br /> v o E- x O H p <br /> amp Location Description Date Time o o 'U-S o G <br /> Num p Sampled Sampled H p, pq PCO U-• C7 N i� _ — u- <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dale: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date- 111112 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 1 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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