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WP0044718
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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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FGL Special CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> INIIIIIIIIIIIIIIIililllllllllnllllllllllllllllilllllllllll 35730:01/01/2024 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 a <br /> Atm: Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang <br /> Project Name: w <br /> y-�N-"nodif� <br /> Purchase Order Number: ` I� > <br /> Quote Number: ST 2016030901 -7' ' a Q �' <br /> E F� <br /> Sampler(s) E w z > O O <br /> rA w a O <br /> Adf <br /> Sampling Fee: ✓✓ Pickup Fee: ° o a in a F" <br /> a' N O[ 'J �•'tj N N MN <br /> Compositor Setup Date: / / Time: / E a z O U =Z O z E <br /> o� o . �x <br /> Lab Number: STK 3-17919 o w ii a a a a fl <br /> Samp Location Description Date Time v Q o o o v o <br /> Num Sampled Sampled E- w w w O U�1 0('14 <br /> 1 G DW 1 1,1 <br /> i <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: "rime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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 /> 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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