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WP0043737
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043737
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Entry Properties
Last modified
5/29/2024 4:46:15 PM
Creation date
10/23/2023 10:53:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043737
PE
4370
STREET_NUMBER
15809
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22922002
ENTERED_DATE
9/1/2022 12:00:00 AM
SITE_LOCATION
15809 S VICTORY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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EGE <br /> CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> II I I I����Ill 35730:11/01/2023 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 <br /> Atm: Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> v <br /> Phone: (209)468-3452 Fax: x <br /> t5 w 3 ti <br /> Contact Person: Scott Sangala O a <br /> Project Name: v5pC19cc <br /> Vf`T�" O a'ti rn <br /> Purchase Order Number: OG �l' �'� V <br /> Cl 5�,6 w Q a <br /> Quote Number: ST 20160309-01 Q x <br /> E F <br /> _ A <br /> Sampler(s)�CL40 Le U * v vTi s a' <br /> JJJJo O •=y ¢O W <br /> Sampling Fee: Pickup Fee:_ 5 °' ; c °'ti - o <br /> ° N m <br /> c� o O v Z E <br /> Compositor Setup Dare:" /i/ Time: /, E o 0 Z O o -Z „ u <br /> rn E orn oA 5z <br /> Lab Number: STK / 3-17919 o w <br /> Samp Date Time � Q g = ae O 1 c c c x <br /> Num Location Description Sampled Sampled " '' o i° e° °N Q"' C. <br /> 1— P (P � E- a as aC 0 U-- t7 N i�.,_: V. a. <br /> 1 <br /> L-%/C I ft.C-1 ���. W U G DW 1 1.1 . SU Ohs ctq <br /> Relinquished Date: Tir:eY f�tciinquished Date: Ti te: Relinquislied Date: Time: <br /> ! ' i <br /> IRc:::eiitved by: U <br /> ffiDate: ir,:c: Received By: Dale: Time: Received-1 <br /> eecceeiiivvedd By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&�\LLaaboratory 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)525-4172/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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