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WP0043744
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043744
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Entry Properties
Last modified
6/24/2024 3:06:37 PM
Creation date
5/29/2024 8:33:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043744
PE
4378
STREET_NUMBER
26684
Direction
E
STREET_NAME
VINE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
22736008
ENTERED_DATE
9/2/2022 12:00:00 AM
SITE_LOCATION
26684 E VINE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> FQL www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 2) <br /> I`IIIIII'III'IIIIIIIIIIIIIIIIIIIIIIII1IIIIII11111IIIIN 35730:11/01/2023 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 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> ° <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q Q S a <br /> 3 (y! <br /> Project Name: � ���^�u v� v1 e <br /> 1G � <br /> v � <br /> Purchase Order Number: 5 Ll` V > 3 <br /> Quote Number: ST 20160309-01 N xCon <br /> E E- <br /> Sampler(s) E cw Z O Q <br /> U * °' V) a 0. O <br /> C O ° a0 w <br /> Sampling Fee: Pickup Fee: a =1 a N x F <br /> a °' ° Ln n a <br /> CN <br /> Compositor Setup Date: i_/_ Time:_/ E a Z O x a =z v O -,Z 8 <br /> 0o c z <br /> Lab Number: STK 3-17919 o N a a U <br /> Samp Date Time -5 Q A ° — f E <br /> Location Description Num Sampled Sampled w, °x' ° b' <br /> O <br /> C-4 <br /> 1 G DW <br /> ir_..: -... ;Redatquish!ei Time. !R iir.-g.;shed D2'fc: Time: !Relinquished Date: Time: E <br /> I:ie•_eiacd fav: Date: Time: I?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 9411 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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