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WP0042250
EnvironmentalHealth
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25726
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042250
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Entry Properties
Last modified
8/12/2024 8:41:26 AM
Creation date
3/16/2022 9:49:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042250
PE
4366
STREET_NUMBER
25726
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02103035
ENTERED_DATE
7/8/2021 12:00:00 AM
SITE_LOCATION
25726 FUHRMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FX L _ CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chcniis(s Laboratory Copy (1 of 2) <br /> I� 35731:04/03/2023 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 ' <br /> Stockton,CA 95205 =° <br /> L <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: ScottSan alan �D <br /> �- ' <br /> Project Name: C7 rn° a <br /> Purchase Order Number: ni a <br /> Quote Number: y a <br /> c. E <br /> Sampler(s) r n E Z s =O <br /> oO. =a' ° <br /> . .. <br /> Sampling Fee: Pickup Fee: ° iu L a <br /> ai Z p <br /> e. a <br /> Compositor Setup Date: v <br /> / / Time: / E <br /> �n E oGo Aa <br /> Lab Number: STK6L9 3 3-17919 O <br /> 0 0 l� 04 w <br /> Samp Location Description Date Time c 9 % a 0 <br /> Num Sampled Sampled E.., a oa C9-0s w-e <br /> G DW 3 <br /> i i::;fitj.;: --------__—__ �i!Ct::y::: i;:is 1 i ]??:E': -� '!i.;Z::�i'_ L1•�tC: �iti',' Relinquished Date: Time: <br /> -Loti`� /"7 . Cams t,.p /L I/N t2 <br /> IVIL-C'7 <br /> %� n: :s•:•: �ia__.:er "i:--11-- 11,ccived Bv: 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 /> -1 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)5254172/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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