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WP0043156
EnvironmentalHealth
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BRUELLA
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19822
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043156
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Entry Properties
Last modified
12/19/2024 4:30:00 PM
Creation date
4/8/2024 4:48:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043156
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
19822
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721032
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
19822 N BRUELLA RD ACAMPO 95220-
Tags
EHD - Public
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ML Special CHAIN OF CUSTODY <br /> . www.fglinc.com <br /> Analytical Chernists ___ Customer Copy (2 of 2) <br /> �III�I�IIIII����I��I''IIII1IIIIII1IIIIIII11'II1I�I1111IN 35731:04/03/2023 "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 a <br /> 1868 East Hazelton Ave. N <br /> Stockton,CA 95205 <br /> o. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q <br /> Project Name: <br /> � <br /> Purchase Order Number: ,Q <br /> Quote Number: y C4 ¢ ,, _ <br /> a W a E F. <br /> Sampler(s) 0 vWi Z > O <br /> 0 <br /> 72 <br /> Sampling Fee: Pickup Fee: S <br /> 7& lu <br /> o b a <br /> „ o .c p:•� U <br /> Compositor Setup Date:_/_/_ Time: /_ E a z O o <br /> Lab Number: STK 3-17919 0 i% n p <br /> 0 0 H aO �>_ <br /> SampDate Time fl ¢E <br /> Num kation Description Sampled Sampled � E- P. w° w O W <br /> 1 G DW 3 <br /> ERP-1WIrks: iRe!ir,gt:isbed ware: Time: ;Relinquish-cd Date: Time: Relinquished Date: Time: <br /> I i<ecei.ri BY�— Date: T m_. ;Received Ry: Date: Timu: Received By: Date: Time: <br /> i <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 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)525-4172/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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