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WP0044718
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044718
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Entry Properties
Last modified
4/12/2024 11:32:49 AM
Creation date
2/12/2024 10:50:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044718
PE
4366
STREET_NUMBER
25451
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540008
ENTERED_DATE
7/31/2023 12:00:00 AM
SITE_LOCATION
25451 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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C AWN OF CUSTODY <br /> t Special www.fgUnc.com <br /> Analytical clicnii-sts Laboratory Copy (1 of 2) <br /> 35730:01101/2024 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 a <br /> Attn:Scott Sanglaang i <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c. <br /> Phone: (209)468-3452 Fax: * °4 <br /> Contact Person: Scott Sangalang cc Q <br /> • �Y�IN' <br /> fin°�` l' a <br /> Project Name* Zt7 <br /> Purchase Order Numberw (�Y 7 <br /> Quote Number: ST 20160'30f-01 7 p a a <br /> a. W A. —w H <br /> Sampler(s) o N Z >. O A <br /> U 2 rn a 0 <br /> * o O ay a0 `° W <br /> Sampling Fee: Pickup Fee: .5 °" 'o °b'� <br /> Compositor Setup Date: 1 / Time: / � Q, z O A4 0. �'z z z <br /> a .O ' 'rx <br /> w C* ,� ai in V w , L tn <br /> Lab Number: STK l 3-17919 w ; <br /> Samp Date Time as 10 NLocation Description <br /> Num Sampled Sampled 7 C14rc. <br /> u.=: iJ.// i=. <br /> 1 <br /> well Z-11109' G DW 1 1,1 T2, t la's <br /> Remarks: Relinquished Date: Time: Relin ish i14 Time: Relinquished Date: Time: <br /> TJ ( I In <br /> Received By: Date: Time: Received By: ate: Time: Received By: Date: Time: <br /> �— <br /> Cornorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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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