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WP0040740
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040740
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Entry Properties
Last modified
5/2/2023 4:27:39 PM
Creation date
3/16/2022 10:31:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040740
PE
4366
STREET_NUMBER
25448
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540001
ENTERED_DATE
4/20/2020 12:00:00 AM
SITE_LOCATION
25448 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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E CHAIN OF CUSTODY <br /> SpecialENVIRONMENTAL -- AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> IIII IIII�IIII'III IIIA IIIIIII llfll " 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EFT) <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Atm: Michael Kith <br /> Fust H Ave. <br /> Stockton, <br /> 952kton,CA 95205 q =° <br /> u <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith II �1 E vi ¢ E <br /> Project Name: S cG, N AnAo",It ✓ h m h <br /> Purchase Order Number:��� Q <br /> / <br /> Quote Number: 1"l(AY1 r4 V" �J — a ¢ d <br /> o E <br /> Sampler(s) ! U w u rn Q <br /> cy <br /> Sampling Fee: Pickup Fee: w <br /> S c 6 <br /> Compositor Semp Date:_/_/_ <br /> 0? Time:ime: Z O <br /> Lab Number: $T{ 33� `T-/C} 3-17919 <br /> .. <br /> mF <br /> Samp Date Time �S O <br /> Num Location Description Sampled Sampled A F w w m O rn <br /> u.tLO) G DW Sub-3 <br /> Remarks: Relinquished Date: Time: uished Date: Time: Relinquished Date: Time: <br /> Z" U;tl, -/lawo /70a <br /> R ry y: 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 /> Ig' Env Fax:(805)5254172 1 All Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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