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WP0042251
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042251
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Entry Properties
Last modified
7/22/2024 4:31:37 PM
Creation date
3/16/2022 10:34:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042251
PE
4380
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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FGL <br /> Special CHAIN OF CUSTODY <br /> AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> 1111iIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIII 35730:11/01/2023 TEST DESCRIPT[ON - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EE1D <br /> i Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Atm: Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =' <br /> a <br /> Phone: (209)468-3452 Fax: <br /> C7 w 3 <br /> Contact Person: Scott Sangalang O ¢ 4 <br /> � a <br /> Project Name: <br /> x 3 fl <br /> Purchase Order Number: U w <br /> Quote Number: ST 20160309-01 <br /> w ¢ x <br /> E F- <br /> Sampler(s) o V) z > O _ Q <br /> C O O E 0.0 ¢ O �9 W <br /> Sampling Fee: Pickup Fee: <br /> a oa ';MO -0 Z r? E <br /> Compositor Setup Date:_/_/_ Time:_/_ `E z O c�n .o z w z to <br /> 0 <br /> Lab Number: STK 3-17919 0 iz <br /> G a a. <br /> o 0. <br /> �a F II n a <br /> Samp Location Description Date Time fl o o o o ,�—,¢ �—, <br /> Num Sampled Sampled <br /> 1 G DW <br /> I <br /> I — <br /> I:C':inquished Time: Relinquished Date: Time: Relinquished Date. Time: <br /> ;Re Fr^ y: `a_: Time: Received By: Date: Time: Received By: Date: Time: <br /> t <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 /> 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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