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WP0042659
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042659
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Entry Properties
Last modified
9/6/2023 8:20:06 AM
Creation date
8/17/2023 1:36:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042659
PE
4366
STREET_NUMBER
25352
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540002
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
25352 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> F GL Special www.fglinc.com <br /> ENVIRONMENTAL —--'------' AGR1CULTUPVkL <br /> Analytical Chemists <br /> Laboratory Copy (1 of 2) <br /> 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 u; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3cc <br /> Phone: (209)468-3452 Fax: w cx <br /> Contact Person: Scott Sangalang <br /> Project Name. a — <br /> Purchase Order NumberG J� �p 2 � � <br /> Quote Number: 77 77 o a ¢ v ^ <br /> F <br /> Sampler(s) LL c z T <br /> i�i1&C74 V <br /> o ao• a <br /> O <br /> Sampling Fee: Pickup Fee: a � <br /> Compositor Setup Date: I I Time: I E z p 0 cc A4A <br /> Lab Number: STK Y 3-17919 ba c p <br /> Samp Date Time S <br /> Num do Descrip' n Sampled Sampled E', a° 04 m O tail v <br /> 1 •e 7;V Qt G DW 3 <br /> I T-1 I I <br /> Remarks: Relinquished Date: Time: Relinqu' hed D te: Time: Relinquished Date: Time: <br /> ry 1b 110 665 <br /> Received By: Date: Time: Receiv y• a Time: Received By: Date: <br /> IIA4 bv� 11 2 Z 1 <br /> Corg_orate Offices&Laboratory Office&Laboratory Office R 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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