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WP0040737
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25363
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040737
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Entry Properties
Last modified
5/2/2023 4:27:38 PM
Creation date
7/29/2020 2:51:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040737
PE
4366
STREET_NUMBER
25363
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540007
ENTERED_DATE
4/20/2020 12:00:00 AM
SITE_LOCATION
25363 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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KGL CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> b° Laboratory Copy (1 of 3) o <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD,t <br /> Address: San Joaquin Co.Environm'Fntal Health Dep , <br /> Water Quality Division <br /> Attn:Rodney Estrada :VJ <br /> 1868 East Hazelton Ave. co3 u <br /> Stockton,CA 95205 <br /> Phone: (249)468-0331 Fax: <br /> C7 w 3 <br /> Contact Person: Rodney Estrada 0 Q <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o E� <br /> Sampler(s) l t u 0 0p A <br /> L1r Q �O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: ! E z O a ° z z .222. <br /> 2 <br /> E <br /> V1, <br /> O EH <br /> Lab Number: STK i 3-17919 S 6 °��' -� Q• <br /> SO4 21 <br /> amp Date Time 6 ; O o o '�'x ~' b <br /> Num Location Description <br /> Sampled Sampled " '' ° Cd C0� ° °' �' v <br /> P P (~ a as as O u- 0" i7.°' ir. //Lu <br /> 1 \_U 113 �� { �IV G DW <br /> q;6q 113 "1'�� <br /> Remarks: Relinquished Date: Time: Relinate: Time: Relinquished Date: Time: <br /> gk 0--" CV <br /> a v <br /> I w 'T I L�' Z lip <br /> Received By: 01 Date: Time: RecA B ate: Time: Received By: Date: Time: <br /> Vi <br /> IPA 'rN"r)A <br /> Cornorate 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 93050 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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