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WP0043073
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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FGL CtWN OF CUSTODY <br /> —ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> ullll I I�VIII I'IIIIIIII I VIII III 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 3r a <br /> Atm: Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> v <br /> Phone: (209)468-3444 Fax: a: <br /> c7 iv 3 <br /> Contact Person: Michael Kith <br /> Project Name:1�tA,b s -i �• u m ron m <br /> Purchase Order Number: U m 3 rn v <br /> > < a o <br /> Quote Number: '� U <br /> E <br /> Sampler(s) cin m <br /> ti Z a. 0= D <br /> PPHN Uoo = " <br /> ca <br /> Pickup Fee: <br /> Sampling Fee: <br /> Compositor Setup Date:_/_ /_ Time: ! w c Z O a W <br /> -- H <br /> Lab Number. ,STK ` m> <br /> p- <br /> ` <br /> Samp Date Time c ;5E <br /> Num Location Description Sampled Time <br /> F a m m 0 r%v <br /> 1 't, ib11kt G I DW I Sub-3 <br /> Remarks: Rquished Date: ?ime: RelinqDa r Time: Relinquished Date: Time: <br /> P 401 A\,%,V"v,9 0 110 <br /> R ed By, a Time: Receiv By: D : Time: Received By: Date: Time: <br /> r32� r (� 2�✓f7 <br /> Corporate Offices&Laboratory Office&La oratory 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)5254172/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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