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WP0043867
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043867
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Entry Properties
Last modified
5/29/2024 4:45:55 PM
Creation date
5/2/2023 2:11:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043867
PE
4370
STREET_NUMBER
11253
Direction
E
STREET_NAME
SOUTHLAND
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20805011
ENTERED_DATE
9/30/2022 12:00:00 AM
SITE_LOCATION
11253 E SOUTHLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special Cimrl OF CUSTODY <br /> - . , www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> �Illilillull�IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIII 35730:11/01/2023 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 /> Atm: Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-3452 Fax: a <br /> Contact Person: Scott Sangalang Q <br /> cA n c� w o a <br /> Project Name: �C,"J, � 5��}Vt( � � � co <br /> Purchase Order Number: U <br /> Quote Number: ST 20160309-01 h x <br /> E F <br /> Sampler(s) U w 0 a A <br /> x O <br /> ¢O W <br /> Sampling Fee: Pickup Fee: E " <br /> a cs. x F <br /> ;, o , V) n <br /> r cn z <br /> Compositor Setup Date: / / Time: /_ E o Z O ' .2 z �O v z e E <br /> oa. 0 "I' c z <br /> Lab Number: STK 3-17919 o rn ii o Ux N <br /> a� Ea a v a a <br /> 0 0 H a o V L " <br /> Samp P Date Time a o N a °' °' °' <br /> Num Location Description Sampled Sampled '� <br /> P P F- a m m O U 0 <br /> 1 G DW <br /> I <br /> r <br /> Ren.ai rs: 'ivCI1P' 1`:1?3 uclC. Ti;'.i!`�::ilnUtitSsted Date: <br /> ,:mC: !Relinquished Dare: <br /> n IL <br /> i!;-ie. IReccived&: i3a. . ia,: cived By: Dale: 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 9411 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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