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WP0044266
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044266
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Entry Properties
Last modified
7/23/2024 8:22:24 AM
Creation date
5/2/2023 3:20:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044266
PE
4378
STREET_NUMBER
19812
Direction
E
STREET_NAME
GAWNE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18510002
ENTERED_DATE
2/13/2023 12:00:00 AM
SITE_LOCATION
19812 E GAWNE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> 41 WRO,MENTAL-- AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> !I'IIIiI�I"VIII IIIIIIIIIIIIIIIIIIIIIIII�'IIII IIIIIIII 35731:04/03/2023 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 a <br /> 1868 Fast Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang AJ�(� a <br /> Project Name: 4. ? (xt 4 e Y1,CA <br /> c7 w o x <br /> Purchase Order Number: r��GUG`c'' c <br /> CI <br /> Quote Number: -L o <br /> a w a E F" <br /> Sampler(s) U Z T O <br /> * Z x <br /> �Lir <br /> O <br /> Sampling Fee: Pickup Fee: a ° 7 <br /> a <br /> = o -S a U <br /> Compositor Setup Date:—/_/_ Time:_/_ E o, Z O c <br /> E o C] <br /> Lab Number: STK 3-17919 0 av p <br /> 0 <br /> U o> <br /> 0 E- 04 O n <br /> Samp Location Description Date Time ,E, n o $ C1.o <br /> Num Sampled Sampled t a co M O w C) <br /> l G DW 3 <br /> lR.clinquat:ed Date: "ii_nte: Relinquished Date: Time: Relinquished Date: Time: <br /> M ceived By: Date: Time: Receiv;d By: Date: Time: Received By: Date: Time: <br /> --- ----------------------- ---------- - -�. <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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