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WP0042678
EnvironmentalHealth
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VAN MAR
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13600
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042678
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Entry Properties
Last modified
7/20/2022 1:30:33 PM
Creation date
3/16/2022 9:52:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042678
PE
4378
STREET_NUMBER
13600
Direction
E
STREET_NAME
VAN MAR
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
02102027
ENTERED_DATE
10/19/2021 12:00:00 AM
SITE_LOCATION
13600 E VAN MAR LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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__ CHAIN OF CUSTODY <br /> -_-- Special www.fglinc.com <br /> ENVIRONMENTAL- AGRICULTURAL <br /> Analytical Chemists Custc Yl4l- copy (2 of 3) <br /> 35731:08/02:t2024 TEST DESCRIPTION - See Reverse side for Container. Pis riative and Sampling information <br /> r, <br /> 'lion[: San Joaquin County EHD <br /> rdess: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn: Michael Kith a <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205 3 c <br /> 'hone: (209)468-3444 Fax: x <br /> c3 A 3 <br /> 'ontact Person: Michael Kith <br /> 'roject Name: �� � � rn co T <br /> 'urchase Order Number: W 3 0 <br /> a� > 94O <br /> )note Number: o a `n U <br /> CL <br /> W C4 ay�i E Oa <br /> ;ampler(s) c rA - >, p G? <br /> o O � <br /> tampling Fee: Pickup Fee: <br /> a ° d <br /> 'ompositor Setup Date: / ! Time: �, z O x Q w <br /> o N <br /> .ab Number: STK 3-17919 ii a <br /> amp <br /> qum Location Description Date Time <br /> Sampled Sampled <br /> l G DW Sub-3 <br /> .emarks: Relinqui.hed Date: Time: Relinquished Date: Time: Relinquished Date: lime: <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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