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WP0042599
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042599
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Entry Properties
Last modified
5/2/2023 4:27:43 PM
Creation date
3/16/2022 10:36:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042599
PE
4366
STREET_NUMBER
25280
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540003
ENTERED_DATE
9/29/2021 12:00:00 AM
SITE_LOCATION
25280 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 /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> IIIIAnalytical Chenni5ts Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 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 j <br /> Atm: Michael Kith a <br /> 1868 East Hazelton Ave. rr'',^�oo p <br /> Stockton,CA 95205 W 7 <br /> Phone: (209)468-3444 Fax: <br /> a <br /> Contact Person: Michael Kith <br /> Project Name: 7fZ '� ,• 1/l.'l(0(t f, 'I� vwi W <br /> Purchase Order Number: <br /> �1."r l/+� L�Z17 W�W <br /> Quote Number: o w U <br /> nu <br /> Sampler(s) E w Z -- J p <br /> (° <br /> Sampling Fee: Pickup Fee: <br /> a e v o m 6 <br /> Compositor Setup Date:_/_I Time:_/_ E a z O a w <br /> Lab Number: SPK or, 3-17919 `o rn '86 <br /> DC7 <br /> amp Date Date Time 6 <br /> Num Location Description Sampled Sampled F a' w wW O r:a <br /> 1 `�)pg' G DW Sub-3 <br /> Itcm,rks: Relinquished Dam: Time: Ref wished D Time: Relinquished Date: Time: <br /> rlr /l dZ <br /> tv By: 7 Date: Time: Received By: d Date- Time: Received By: Date: Time: <br /> °Z���zoz3 /oi8 --14e" <br /> C <br /> e /7a-6 <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)7348435 <br />
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