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WP0043766
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043766
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Entry Properties
Last modified
9/5/2023 11:50:15 AM
Creation date
7/20/2023 4:10:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043766
PE
4370
STREET_NUMBER
241
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
21633048
ENTERED_DATE
9/14/2022 12:00:00 AM
SITE_LOCATION
241 W JOSEPH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Laboratory Copy (1 of 2) <br /> (� I 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 a <br /> Attn:Scott Sanglaang l (� <br /> 1868 East Hazelton Ave. w p o� Lksl`6� <br /> 6 <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: ScottSan slang N <br /> Project Name: C7 CO) r� <br /> Purchase Order Number: ( "�� ' > b° }' oG <br /> Quote Number: o a <br /> .. <br /> Sampler(s) <br /> a° <br /> Sampling Fee: Pickup Fee: 5 O <br /> 0 Cd cs. <br /> Compositor Setup Date: 1 I Time: / E ¢, z O <br /> .�3�73 �� <br /> Lab Number: STK 3-17919 b w >; 0,-, 8 0 <br /> 0 0 E-� A4 ,r>> <br /> Samp Date Time -5 K <br /> Location Description ,, 0 m 10-S a c <br /> Num f( Sampled Sampled 2 F. a ca M O w v <br /> G DW 3 <br /> 0 <br /> Remarks: Relinquished Date: Time: fished rrDate: Time: Relinquished Date: Time: <br /> i 2 �l I� I7� LS zs 23 <br /> Fql <br /> Y. Date: Time: Received By: ` Date: Time: Received By: Date: Time: <br /> Comorate 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 /> -R 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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