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WP0041933
EnvironmentalHealth
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24341
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041933
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Entry Properties
Last modified
5/4/2022 2:25:59 PM
Creation date
3/16/2022 9:48:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041933
PE
4366
STREET_NUMBER
24341
Direction
N
STREET_NAME
PARTRIDGE
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00724039
ENTERED_DATE
4/15/2021 12:00:00 AM
SITE_LOCATION
24341 N PARTRIDGE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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CHAiri OF CUSTODY <br />_ Special <br />www.fglinc.com <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists Sas <br />Customer <br />Cop <br />-(2 of <br />3) <br />Kill I lU.\ <br />I<" <br />, ....�� <br />�„ <<,,,�., <br />�,��.1'1" <br />11;11IILl�l� ;,i l �llll �l dill — — 3---73l:0&02,20-'l 1 [_111 Dist <br />1111,111 'I'll <br />Client: San Jo tum County EHD <br />Address: Sari Jo in Co. Environmental Health Dep <br />Water Qftality Division <br />a <br />Arm: 1Vtichael Kith <br />a <br />1868 East Hazelton Ave. <br />Stocktoe CA 95205 <br />Phone: (209)468-3444 Fax: <br />y <br />x <br />Contact Person: Michael Kith <br />Q <br />8 <br />Project Name: <br />a <br />rn <br />Purchase Order Number: <br />3 <br />a <br />a <br />T <br />0 <br />Quote Number: <br />"a <br />0 <br />w <br />�, <br />W <br />¢ <br />P. <br />z <br />E <br />>1 <br />F" <br />U U <br />A <br />Sampler(s)0 <br />V <br />* <br />.2 <br />o <br />O <br />•� h <br />7 <br />'. <br />o <br />Sampling Fee: Pickup Fee: _ <br />C <br />C <br />i <br />_ <br />N <br />Q <br />Compositor Setup Date: / r -Time: /_ <br />Ei <br />0 <br />Al <br />z <br />a <br />p <br />a> <br />o <br />W <br />Lab Number: STK 3-17919 <br />Samp <br />Location Description <br />Date <br />Time <br />a <br />o <br />"" <br />� -S <br />a o <br />Num <br />Sampled <br />Sampled <br />F. <br />a <br />m <br />oq O <br />v) "t <br />I <br />G <br />DW <br />Sub -3 <br />Remarks: Relinquished Datc: Time: Relinquished Date: Time: Relinquished Daie. Tillie: <br />Received By: Date: Time: Received By: Date: Time: 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 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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