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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
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SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> 1_ GL <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL ACOCULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 35730:04/03/2023 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 <br /> 1858 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> C7 Lt1 � y <br /> Contact Person: Scott Sangalang Q °' <br /> Project Name:'�i;: �1�/ et `! O w - —_ <br /> x 3 Cn a <br /> Purchase Order Number. �U > tw <br /> a w <br /> Quote Number: ST 20160309-01 <br /> Samplers) NA��' U y O a. a <br /> v 0 <br /> pN <br /> Sampling Fee: Pickup Fee: �r°A o a O '~ <br /> cc <br /> t~ <br /> Compositor Setup Date: / / Time: / E n. z p o" Z 0 O �A <br /> E a A F <br /> o �z u,� <br /> Lab Number: STK9011-1 3-17919 0 a, id V a x H <br /> c F 941-1 O <br /> o <br /> Samp Date Time �s =c E n <br /> Num Lo tion D rip io �Sampled Sampled " '' ° CQ O U O <br /> ° <br /> P P E~ a m N <br /> 1e �''?� 0 G DW 1 1,1 7'7' 7 16:/ <br /> Lt1 �z <br /> Remarks: Relinquished Date: Time: Relinquished D Time: Relinquished Date: Time: <br /> pft <br /> lam` - ���tb 7 Z 2� X10 L 5 25 z3 ll <br /> Received By: Date: Time: Receiv �f �f D Time: Received By: Date: T" e: <br /> 11fq/0!05 1//'� w / Z� �. —n , �116 <br /> Corporate—Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo l 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 1 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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