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WP0043411
EnvironmentalHealth
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ELLIOTT
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043411
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Entry Properties
Last modified
10/8/2024 1:46:17 PM
Creation date
4/8/2024 4:58:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043411
PE
4380
STREET_NUMBER
29000
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00719018
ENTERED_DATE
6/23/2022 12:00:00 AM
SITE_LOCATION
29000 N ELLIOTT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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CHAIN Or-CUSTODY . <br /> ENVIRONMEN I IAL�MAORICULTURAL Special www.fgUnc.com <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> SM111111[ f f ! I1! f f[ 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County MID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3a <br /> Attn:Scott Sanglaang .. p; <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 $ c. <br /> C7 w 3c, a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang ' ¢ E <br /> a <br /> Project Name:�®M ��q�(� v ° o <br /> Pro - - <br /> J � 1NL � 3 � <br /> Purchase Order Number: INL v W 0> cc w <br /> Quote Number: ST 20160309-01 ¢ �' <br /> Samplers) o � Z T O O <br /> on c <br /> 0— <br /> cot� 'O .., <br /> Sampling Fee: Pickup Fee: E <br /> Compositor Setup Date: I I Time: 1 E Z p a; _�Z M -6 Z <br /> Q1 L O ~ <br /> rCd <br /> GA <br /> Lab Number: STK 3-17919 w,o w <br /> cc <br /> Samp Date Time -S �, o~ <br /> Location Description ,, o ca M o N w R a. 6 <br /> Num Sampled Sampled E., a as as O U 0 cv <br /> G DW _D <br /> D te: Time: Relinquished Date: Time: <br /> ce <br /> (toll /* <br /> ,_2ra:rlve.�- Da!, 'i:ne: ERcc.:ived Pj: Date: time: IReceived}3y: ate. 3' lle <br /> �� <br /> Corporate Offices&Laboratory Office&Laboratory Office 8<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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