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WP0041139
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041139
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Entry Properties
Last modified
12/27/2021 1:34:20 PM
Creation date
9/17/2020 9:06:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041139
PE
4370
STREET_NUMBER
15015
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02108011
ENTERED_DATE
8/24/2020 12:00:00 AM
SITE_LOCATION
15015 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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March 9, 2021 <br />San Joaquin Co. Environmental Health Dep Lab ID : STK2132719 <br />Water Quality Division Customer 3-17919 <br />Attn: Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Laboratory Report <br />Introduction: This report package contains total of 4 pages divided into 4 sections: <br />Case Narrative <br />(1 pages) : An overview of the work performed at FGL. <br />Sample Results <br />(1 page) : Results for each sample submitted. <br />Interpretation <br />(1 page) : Drinking Water Interpretation for each sample submitted. <br />Quality Control <br />(1 page) : Supporting Quality Control (QC) results. <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br />Sample Description Date Sampled ReDat ed FGL Lab ID # Matrix <br />Wellhead 02/25/2021 02/25/2021 1 STK2132719-001 I DW <br />Sampling and Receipt Information: All samples were received in acceptable condition and within <br />temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived <br />at 2.8 °C. All samples were prepared and analyzed within the method specified hold time. All samples <br />were checked for pH if acid or base preservation is required (except for VOAs). For details of sample <br />receipt information, please see the attached Chain of Custody and Condition Upon Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to the following tables: <br />Organic QC <br />504 <br />03/05/2021:202461 All preparation quality controls are within established criteria (performed at FGL-SP <br />ELAN 1573) <br />504.1 <br />03/06/2021:203328 All analysis quality controls are within established criteria <br />Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br />and for completeness, except for any conditions listed above. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br />signature. <br />Reviewed and Digi1.11y signed by Kdy A. Du .h-. B.S. <br />' <br />Kelly A. Dunnahoo B.S. I.,I� Tid.: Uborazory Dve for <br />Approved By Dw.:2021-03-10 <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Avenue <br />Santa Paula. CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />TEL: (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 <br />Env FAX: (805)525-4172 / Ag FAX: (805)392-2063 FAX: (209)942-0423 FAX: (530)343-3807 <br />CA ELAP Certification No. 1573 CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />Page 1 of 4 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810 <br />
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