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WP0040740
EnvironmentalHealth
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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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CHAIN OF CUSTODY <br /> ENVIRONMF,NTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> -11 01cmist"; <br /> e Laboratory Copy (1 of 3) <br /> 35730:0210612017 TEST DESCRIPTION = See Reverse side for Container,Preservative and Sampling information a <br /> Client. San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. C <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada I g A Q <br /> Project Name: JS 4u Q� i'� it, �W„ •» _ <br /> Purchase Order Number: -1 b //��� / U 3 <br /> !`'CCL°yLl 1 , A'/�, �i <br /> Quote Number: ST 20160309-01 �J l�`� o a ¢ ^ o <br /> a ^ <br /> Sampler(s) E w CA A <br /> 1 1 U * a; O a 14 0 <br /> t4 oC ... O <br /> * '� ^ �a Q`n �p x <br /> o O �O W <br /> Sampling Fee: Pickup Fee: a, c <br /> . <br /> Compositor Setup Date: Time: a a 0a^ u Z=z <br /> c a.--i <br /> 4. AQ- EQE <br /> ZE iLI <br /> �Lab Number: STK 3-17919 y�0a y <br /> lamp Location Description Date Time $, c <br /> Num Sampled Sampled E., a M, M O U V N Lu <br /> 1 , ; G DW 1 1,1,1 •�6 uZ(23 9'l� <br /> lemarks: Relinquished Date: Time: uished ate: Time: Relinquished Date: Time: <br /> ved By: Date: Time: Received By: // Date: Time: Received By: Date: Time: <br /> °�I-ZIXOA9 /dam, 02.1/Z; 1-0 6 1 CDA- <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 /> 1d' Env Fax:(805)525-41721 Ag Fax:(805)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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