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WP0043156
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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Special Cion OF CUSTODY <br /> ENVIRONMENTAL s AGRICULTURAL P www.fglinc.com <br /> Analytical Cheniists ------ Customer Copy (2 of 2) <br /> III'Ill�llll�llllllllllll'I'�IIII��'IIIIIIIIIIIIIII�Iill,l 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. Enviromnental Health Dep <br /> Water Quality Division <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> v <br /> Phone: (209)468-3452 Fax: <br /> ij w 3 <br /> Contact Person: Scott Sangalang Q ¢ U a <br /> Project Name: ` 0 <br /> Purchase Order Number: W ¢ LO <br /> Quote Number: ST 20160309-01 x CIO <br /> E F <br /> Sampler(s) U O O <br /> N O <br /> p W <br /> Sampling Fee: Pickup Fee: g ° 7 ? r+ x E <br /> n <br /> Time:—__ _— QzGO5o> txa.�v voU Ngcxn ZCompositor Setup Date: o zwNo z xy HxE <br /> E <br /> Lab Number: STK 3-17919 0 a bv a� <br /> Ea. a a a <br /> a 0 � F• rx� <br /> Samp Date Time -q 'to—E <br /> �c"E Hb xII <br /> a <br /> Location Description a <br /> Num ov <br /> Ied Sam led O UC7 N is. <br /> 1 G DW <br /> i i ! i • � I _ I <br /> •1utc: :imo: .e...:aisitcG Lars: Time: !Relinquished Date: Time: <br /> i?e•-:=we Sy: a.c. T;fnc: !Recei%'t:a By: Date: Timer <br /> ` i I <br /> Corporate Offices 8,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 1 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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