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WP0041669
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041669
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Entry Properties
Last modified
2/6/2024 12:20:55 PM
Creation date
3/16/2022 10:32:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041669
PE
4380
STREET_NUMBER
3125
Direction
E
STREET_NAME
ORANGE
STREET_TYPE
ST
City
ACAMPO
Zip
95220-
APN
01320045
ENTERED_DATE
1/29/2021 12:00:00 AM
SITE_LOCATION
3125 E ORANGE ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHMN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL P www.fgUnc.com <br /> Analytical CherWists Customer Copy (2 of 2) <br /> III�III I IIIIII IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII 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 <br /> Attn: Scott Sanglaam, 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang O <br /> Project Name: ' �u L w o <br /> Purchase Order Number: <br /> C/CJ`T�1�lrj� Q av <br /> Quote Number: – �y <br /> E <br /> Sampler(s) vO <br /> Jd S�a Yi— _ a <br /> Sampling Fee: Pickup Fee: c ° 7�' O <br /> C <br /> o a <br /> Compositor Setup Date: / / Time: / E a Z O <br /> —— L" E o V Q <br /> Lab Number: STK I 3-17919 0 v) a• C. d p <br /> / b 0 F O C)> <br /> 0 <br /> Samp Location Description Date Time v T o .ro y E <br /> Num Sampled Sampled a w w 0 w a <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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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