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WP0043573
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043573
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Entry Properties
Last modified
3/13/2025 10:50:43 AM
Creation date
2/17/2023 4:08:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043573
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
26860
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00722015
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
26860 N ELLIOTT RD GALT 95632-
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists !~Held Copy I z tit �1 <br /> 35730:02i06/2017 i EST DESCRIPTION See Reverse side )r Container. Preservative and Samp:ing int-rn;ation <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Heaith Dep <br /> Water Quality.Division <br /> Atm:Rodney Estrada 3 a <br /> 1868 East Haielton Ave. <br /> Stockton,CA 95205 3 — <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada / U <br /> ,_ c0 rl / <br /> Project Name: 7 <br /> Purchase Order Number: )k r7 y 3 ua <br /> Quote Number: ST 20160309-01 W n a <br /> n W p v F x F <br /> Samplers) U ? Cn a 0 <br /> °o <br /> Sampling Fee: Pickup Fee: <br /> i fccP E <br /> Compositor Setup Date:_/_/_ Time:_/_ �, z O a y Z Oz A <br /> o � x <br /> Lab Number: STK 3-17919 0 a ¢ a a n o <br /> o v F �� <br /> Samp Date Time 7Sa t o <br /> Location Desenpuon Sampled Sam sled ' ' ° <br /> Num p I � F a- w wO u — C7 �; w <br /> 1 G DW l LII <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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