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WP0044953
EnvironmentalHealth
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BROVELLI WOODS
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24790
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044953
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Entry Properties
Last modified
9/30/2024 11:14:14 AM
Creation date
3/20/2024 2:22:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044953
PE
4366
STREET_NUMBER
24790
Direction
N
STREET_NAME
BROVELLI WOODS
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00310033
ENTERED_DATE
10/6/2023 12:00:00 AM
SITE_LOCATION
24790 N BROVELLI WOODS LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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- -CHAIN OF CUSTODY <br /> Special www.,gUne.eom <br /> Laboratory Copy (1 of 2) <br /> 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> (Tient: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division '1 <br /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 , <br /> Stockton,CA 95205 <br /> u ��l <br /> Phone: (20968-3452 Fax: <br /> t:7 w 3 <br /> Contact Person: Scott SangalangGn <br /> Q n <br /> uo <br /> Project Name:y /7 tLLwqA5' ` C7 Cn cc ti C <br /> Purchase Order Number: u > ¢ GnA a w <br /> Quote Number: ST 20160309-01 0 `✓ �O <br /> Sampler(s) c W z ,� A <br /> U Oa O <br /> .. to aPq&te� c x <br /> �o <br /> o O .O xH <br /> Sampling Fee: Pickup Fee: S °i n t';eq <br /> Compositor Setup Date: / / Time: / n, z p �'Z 6.O z Z E <br /> v� I~ E z <br /> Lab Number: STK 1+ 3-17919 0 <br /> V c N 941.1 <br /> Samp Date Time 6 [�' ccv Location Description Ni=Num Sampled Sampled o m A O Ux <br /> w <br /> 1 ..3 j�✓L3 G DW 1 <br /> it moi. ^t '-!''1!: ..-. �� e4': ..• I1_;r.`.t' t'i!`•.'.' ii�l:; ::.c...._...i(!`•Iir,:;u1Sa::d Date: '1R:—: t <br /> LS z� /sib <br /> r,v: <br /> Tim— <br /> By: fate: 'fmc: <br /> : I <br /> Comorate Offices&Laboratory Office&MOM= Office&Laboratory Office&LaboratoryOffice&Laboratory_ <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive, to D 9411 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)525-41721 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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