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WP0044129
EnvironmentalHealth
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15363
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044129
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Entry Properties
Last modified
10/3/2024 4:32:17 PM
Creation date
3/8/2023 1:46:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044129
PE
4366
STREET_NUMBER
15363
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
ACAMPO
Zip
95240-
APN
05120070
ENTERED_DATE
12/6/2022 12:00:00 AM
SITE_LOCATION
15363 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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rm- <br /> Special CHAIN OF CUSTODY <br /> P www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIIIIIII IIIIIIIIIIIIIIIIII II'IIIIIIIIIIIIII IIIIII 35730:04/03/2023 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 3 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 —° <br /> a <br /> v <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q Q <br /> W ? o <br /> Project Name: / �'�7 'obj � ( N L <br /> Purchase Order Number: U w $ v <br /> U 12y ., <br /> Quote Number: ST 20160309-01 N x <br /> Sampler(s) o O A <br /> 0 O <br /> o O 5a Qp o W <br /> Sampling Fee: Pickup Fee: <br /> C «7 <br /> Compositor Setup Date: / Time: / E a z p a v �'z 'O D Z M E <br /> -- a s o c Z <br /> M E- <br /> 0 <br /> co <br /> Lab Number: STK 3-17919 0 5 c U x N x x <br /> > Q)a <br /> Samp S 5 Date Time °' o <br /> Num led Sampled c o b x b b <br /> Location Description Sam 0 ' o d @ <br /> P P F- a m w O U - 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> �7i l <br /> Received By: // Dai: Time: Received By: Date: Time: Received By: Date: Time: <br /> c. <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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