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WP0042889
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042889
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Entry Properties
Last modified
2/22/2024 4:11:39 PM
Creation date
6/10/2022 1:43:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042889
PE
4378
STREET_NUMBER
16000
Direction
S
STREET_NAME
COTTAGE
STREET_TYPE
AVE
City
MANTECA
Zip
95336-
APN
20837010
ENTERED_DATE
1/10/2022 12:00:00 AM
SITE_LOCATION
16000 S COTTAGE AVE
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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ENVIRONMENTAL . , <br /> FGL Special CI�IwwOfglinc.comODY <br /> II!! Analytical Chemists Customer Copy (2 of 2) <br /> I ���IIII�I�I'IIIIIIIIfilllllll��lll'I�III�III��IIIII�I��IIII 35730:01/01!2024 TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD I <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Atm:Scott Sanglaang <br /> i 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =� <br /> y <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang Q Q L a <br /> Project Name: 0 <br /> C7 W p; o <br /> Purchase Order Number. <br /> Quote Number: ST 20160309-01 <br /> N E H <br /> Sampler(s) 0 V 0 <br /> 0 a Q <br /> ¢O w <br /> Sampling Fee: Pickup Fee: <br /> 0 N + y <br /> Compositor Setup Date: / / Time: / E a z O O °—„Z E <br /> oz cz ii Q E <br /> Lab Number: STK 3-17919 o w E a v y a a v a o <br /> 0 0 6 E= a <br /> SNamump Loc = oDate Time -S E :Ho <br /> ation Description aw 5 -S o <br /> °0 VSam led Sampled <br /> 1 G DW <br /> Remarks: Relinquished Date; � > Time: Relinquished Date: Time: (Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 'Dime: j <br /> • ` 1 <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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