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WP0044278
EnvironmentalHealth
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TANGEMAN
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2989
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044278
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Entry Properties
Last modified
7/20/2023 5:43:37 PM
Creation date
6/20/2023 8:49:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044278
PE
4378
STREET_NUMBER
2989
STREET_NAME
TANGEMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
ENTERED_DATE
2/15/2023 12:00:00 AM
SITE_LOCATION
2989 TANGEMAN RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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MITI- <br /> CHAIN OF CUSTODY <br /> UG L <br /> ENVIRONMENTAL AGRUCUUFURAL Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 11111111111 MA IMI I IT lip 35731:0410312023 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-3452 Fax: w 04 <br /> Contact Person: Scott Sangalang <br /> Project Name:'Jf�\tdgkca <br /> Purchase Order Number: n a <br /> Quote Number: 0. <br /> ¢ `✓ <br /> Sampler(s) U 0 <br /> .. c u. 2 <br /> o O •�v� O <br /> .5 <br /> Sampling Fee: Pickup Fee: p; " a <br /> 0 cc <br /> a <br /> a <br /> Compositor Setup Date: / / Time: / E a z p a a <br /> Cn E c 9 r. <br /> Lab Number: STK V3-17919 o w a s 40 <br /> ID> <br /> Samp Date Time 6 <br /> Location Description a ,, o a �� a c <br /> Num Sampled Sampled :2E., a o4 ca O w S <br /> 1 �� N�,%w G DW 3 <br /> Remarks: Relinquished Dat <br /> e- Time: Relinquis d Dat : Time: Relinquished Date: Time: <br /> 5 Z� 110 6J-5 flZ(oti3 r*3Uv <br /> Received B Date: Time: Received y• D Time: Received By: Date: Time: <br /> z5 z.4 <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)525-41721 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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