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WP0044666
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044666
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Entry Properties
Last modified
6/17/2024 2:15:22 PM
Creation date
3/20/2024 2:22:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044666
PE
4380
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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL www.fgunc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�iIIII 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 a <br /> Attn: Scott Sanglaang <br /> 1863 East Hazelton Ave. <br /> Stockton.CA 95205 3 =° <br /> a <br /> Phone: (209)468-3452 Fax: * x <br /> Contact Person: Scott Sangalang L a <br /> Project Name: -� a 1�Cj� T. I r__i1/ O v0� <br /> Purchase Order Number: ; V w � � o <br /> Quote Number: ST 20160307-01 a _ <br /> E F- <br /> Sampler(s) E w z <br /> E >, p Q <br /> U — i' x w x <br /> c� ¢O W <br /> � o <br /> Sampling Fee: Pickup Fee: 5 C' o °'r; a <br /> C <br /> O �.N �Z <br /> Compositor Setup Date:—/—/ Time: / E & z O z „O w <br /> -- E o� o �z <br /> Lab Number: STK 3-17919 o w w a � E a a v= a c <br /> Samp Date Time n a o c C:, <br /> x <br /> Location Description v > o �, o B F y c v v <br /> Num Sampled Sampled O <br /> 1 G DW <br /> Remarks: (Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time <br /> lReceived By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate 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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