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WP0043680
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043680
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Entry Properties
Last modified
8/31/2023 2:32:58 PM
Creation date
5/2/2023 1:55:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043680
PE
4378
STREET_NUMBER
26914
Direction
E
STREET_NAME
JONES
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24718005
ENTERED_DATE
8/25/2022 12:00:00 AM
SITE_LOCATION
26914 E JONES RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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- CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Cyent: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> I Attn:Scott Sanglaang 4 � <br /> 1868 East Hazelton Ave. cc <br /> a <br /> Stockton,CA 95205 3 <br /> w <br /> Phone: (209)468-3452 Fax: ti a <br /> Contact Person: Scott Sangalan y Q <br /> Project Name: <br /> Purchase Order Number: f 'C��Z� U > to a <br /> Quote Number: Qt'lp' " <br /> o; E <br /> Sampler(s) z z a <br /> o Og° a <br /> Sampling Fee: Pickup Fee: .5 a. IL-1 a <br /> Compositor Setup Date: / / Time: / E Q, Z O a <br /> Cn En <br /> Lab Number: STK 3-17919 w a0 4 p <br /> o aG <br /> Samp Date Time 6Q <br /> Num Location Description Sampled Sampled n° cop 0 <br /> 1 y toK.. G D 3 <br /> Remarks: Relinquished Date: Time: aished Date: Time: Relinquished Date: Time: <br /> tl,'110 `s�o% 170-0 rJ IL13 S <br /> eceived By: Date: Time: Received By: Date: Time: Received By: Da Ti e: <br /> ub <br /> Corporate Offices&Laboratory O o Office 8 Laboratory_ Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 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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