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WP0044665
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044665
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Entry Properties
Last modified
6/17/2024 2:15:37 PM
Creation date
3/20/2024 2:21:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044665
PE
4366
STREET_NUMBER
23400
Direction
N
STREET_NAME
STATEN ISLAND
STREET_TYPE
RD
City
THORNTON
Zip
95686-
APN
06902019
ENTERED_DATE
6/28/2023 12:00:00 AM
SITE_LOCATION
23400 N STATEN ISLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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DG CHAIN OF CUSTODY <br /> ENVIRONMENTAL AORICUL:rurw- Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a� <br /> Phone: (209)468-3452 Fax: W 3 x <br /> Contact Person: Scott Sangalang CO) Q <br /> t�N k 1 <br /> Project Name: - � C7Cn o cn <br /> Purchase Order Number: W Qs <br /> Quote Number: ST 20160309-01 &n <br /> N x Op •� <br /> E <br /> Sampler(s) E Gnz Oa A <br /> .. <br /> .2 Gn <br /> IV46"4XP2109 .0 <br /> ^ a Q`'' o W <br /> Sampling Fee: Pickup Fee: _ a O o sin _ <br /> M <br /> Compositor Setup Date: I I Time: I E Z 00 a s =z p -6. <br /> cc E CL 0 , Z <br /> Lab Number: STK 3-17919 0 a4. ; T ca <br /> c U a <br /> t� U <br /> Samp I vocation Descrip tion nate 'Time cc w� c o kn c. <br /> Num Sampled Sampled F o; ria as O u a N w-: w LL. <br /> Sep1 e G DW 1 1,1 "� ^rpj ff.7 <br /> Rcni ark,,: 1? IiS?'iuiiElPfl' 1-1 e' � � iished Time: Re nquished �DatN: Time: <br /> 1-706 <br /> N4 <br /> 'Received )' :i 'rime. Received By: 4 Lite: Time: Received By: Date. Time: <br /> 3 <br /> li5qle /- YXN 17�� <br /> Comorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laborato Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Dri ,Suite D 9415 W.Goshen Avenue <br /> "J Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> u 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)7348435 <br />
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