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WP0043555
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043555
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Entry Properties
Last modified
10/24/2022 3:06:06 PM
Creation date
8/23/2022 4:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043555
PE
4366
STREET_NUMBER
22331
Direction
E
STREET_NAME
SKIFF
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20519003
ENTERED_DATE
7/29/2022 12:00:00 AM
SITE_LOCATION
22331 E SKIFF RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2022
Tags
EHD - Public
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- _= CHmri OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists <br /> Held C op\ I t ) <br /> 3:730:02/06/2017 STDESCRIPTIONSee Reverse side for Container.Preservative and Samliniiirmation <br /> Client: San Joaquin`C`ounty EHD <br /> Address: San Joaquin Cis. Environmental Health Dep <br /> Water Qualit*?ivision I a <br /> Attn:Rodneystrada 94 <br /> 1868 East Ha'rxlton Ave. Q <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-033` Fax: <br /> C: w0 v <br /> Contact Person: RodnA-Estrada ,- 7 <br /> Project Name: C7 a _ <br /> Purchase Order Number: 3 a <br /> j ¢ a W <br /> Quote Number: ST 20160309-01 y 1Wct N <br /> a w a g o E- <br /> Sampler(s) U `&n v `� a a O <br /> g a M N x <br /> w <br /> Sampling Fee: Pickup Fee: S o o °» n <br /> Compositor Setup Date:_/_/_ Time:_/_ Z O c o z c Z w A F <br /> x x <br /> Lab Number: STK 3-17919 0 02 '5 d - <br /> 0 04 <br /> a F II <br /> Samp Location Description Date Time T o ro o Na C, v a v <br /> Num Sampled Sampled t a ao as O U <br /> 1 G, DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: lime: <br /> Received By: Date: I'imc: 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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