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WP0042715
Environmental Health - Public
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4300 - Water Well Program
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WP0042715
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Entry Properties
Last modified
9/16/2022 12:21:42 PM
Creation date
8/1/2022 10:50:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042715
PE
4378
STREET_NUMBER
16587
STREET_NAME
SEXTON
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20526002
ENTERED_DATE
11/2/2021 12:00:00 AM
SITE_LOCATION
16587 SEXTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Clicinists <br /> Laboratory Copy (1 of 3) <br /> .I <br /> 35730:0210612017 a; TEST DESCRIPTION - See Reverse side for Container,Preservativb.and Sampling information <br /> Client: San Joaquin County Effl) <br /> Addiess: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n. <br /> Phone: (209)468-0331 Fax: W x <br /> Contact Person: Rodney Estrada ¢ v <br /> Project Name:\(0 1!4VICc <br /> Q 0 U, '1�cj a 3 ., �, _. <br /> Purchase Order Number: W d v w � „ Z. - <br /> Quote Number: ST 20160309-01 <br /> w <br /> Sampler(s) 1? w z H O oO A <br /> Sampling Fee: Pickup Fee: a c a <br /> Compositor Setup Date: I I Time: I o. z Op a zu z E <br /> E- <br /> Lab Number: STK �j 3-179190 w a 0. U a <br /> c 0 <br /> lamp Date Time . x <br /> Location Description �, c ; o f .o 8 0 w <br /> Num Sampled Sampled E, a M as O U 0 c+i LZ° a. <br /> G DW 1 1,l,l o" <br /> Remarks: Relinquished A Date: Time: Relinquished ate: Time: Relinquished Date: Time: <br /> IV U 11 Lai <br /> Received By: Date: Time: Receiv By• te: Time: Received By: Date: Time: <br /> Z92- <br /> C-orRarate <br /> Offices&Laboratory Office&Laboratory Office&Laboratory Office& Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Ive,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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