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WP0043391
Environmental Health - Public
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19176
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043391
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Entry Properties
Last modified
4/17/2023 11:26:36 AM
Creation date
8/22/2022 4:31:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043391
PE
4381
STREET_NUMBER
19176
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22736012
ENTERED_DATE
6/13/2022 12:00:00 AM
SITE_LOCATION
19176 S SANTA FE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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AGRICULTURAL Cl mri OF CUSTODY <br /> r NVIRONMENTAL Special www.fglinc.com <br /> Analytical Chemisis Laboratory Copy (1 of 3) <br /> IIIIIIIIIII IIIIIII1III 1IIIIIVIIIII III 35731:08/02/2021 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 <br /> Atm:Michael Kith <br /> 1868 East Hazelton Ave. <br /> v <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: m <br /> lj ul aro h <br /> Contact Person: Michael Kith O <br /> Project Name: <br /> Purchase Order Number: G <br /> Quote Number: C <br /> a <br /> Same `(�,i`VN 0 <br /> v� <br /> Sampling Fee: Pickup Fee: <br /> 6 C <br /> Compositor Setup Date: / / Time:_/_ a, Z p <br /> Lab Number: $TK3-17919 o H a m> <br /> o F CD p17 <br /> Samp Date Time 15 o, B E <br /> Num Location Description Sampled Sampled <br /> G DW Sub-3 <br /> Remarks: Relinquish DatC. Time: R shed Date: Time: Relinquished Date: Time: <br /> Received y: /Date: Time: Received By: Pam: 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.Linda 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)7349473 <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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