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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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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL-� AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 35731:01/01/2024 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EMD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =" <br /> Phone: (209)468-3452 Fax: a <br /> V W 3 <br /> Contact Person: Scott Sangalang A Q a <br /> Project Name: w a <br /> Purchase Order 13umber: U w a <br /> �? > Q a <br /> Quote Number: <br /> Sampler(s) U O <br /> ^ , � x <br /> Sampling Fee: Pickup Fee: S <br /> C 0 " xo" U <br /> Compositor Setup Date: / / Time:—/— 8 n, z O <br /> Lab Number: STI{ 3-17919 0 a a p <br /> Samp Date Time -Eu- a .6 <br /> Num Location Description Sampled Sampled ET a° M w°O w C) <br /> 1 — G DW 4 <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 /> Coroorate 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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