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WP0043073
Environmental Health - Public
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ROSSIER
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31296
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043073
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Entry Properties
Last modified
7/20/2023 4:22:36 PM
Creation date
3/24/2023 10:46:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043073
PE
4378
STREET_NUMBER
31296
Direction
E
STREET_NAME
ROSSIER
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22920008
ENTERED_DATE
3/14/2022 12:00:00 AM
SITE_LOCATION
31296 E ROSSIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Amk <br /> CtWN OF CUSTODY <br /> ENVIRONMENTAL=- AGRICULTURAL Special www.fgUnc.com <br /> AnalytiCal Chemists <br /> Laboratory Copy (1 of 3) <br /> 35730:0210612017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EIID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. Ca <br /> 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada L <br /> Project Name: 3�Z( ��� Ir-�. W ca <br /> ' ° <br /> Purchase Order Number: '"►� U w 3 ; 0 <br /> ul <br /> Quote Number: ST 20160309-01 w ¢ <br /> o 8 o H <br /> r� <br /> Sampler(s) U 0O a A <br /> ° <br /> Sampling Fee: Pickup Fee: S a S. <br /> o a CN <br /> O <br /> Compositor Setup Date: 1 I Time: I E ° p a; O -6. � � <br /> z -z <br /> c a ° z <br /> Lab Number: STK ZaOf3-17919 0 o. g v co a a a a. <br /> Samp Date Time •5 U x <br /> b <br /> Location Description a <br /> Num Sampled Sampled ° ° <br /> 12 <br /> X o U 0 c4 w •° <br /> 1 q G DW 1 1,1,1 ?2 f coo <br /> Remarks: Relinquished Date:Time: Rel' 'shed D te: Time: Relinquished Date: T' e: <br /> U60A ."', �[[ � Iffo l Ir <br /> Received B ate: Time: Receive By: Date: Time: Received By: Date: Time: <br /> � l� J 2 M[o [1� �110?3L <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory U 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)525-41721 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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