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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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_ CIIMN. OF:.CUSTODY- <br /> Special www.fgUnc.com <br /> Analytical Laboratory Copy (1 of 2) <br /> 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 0. <br /> Phone: (209)468-3452 Fax: a <br /> v w 3 v <br /> Contact Person: Scott Sangalang Q L <br /> Project Name!k bM W o <br /> Purchase Order Number: tw <br /> a <br /> Quote Number: H a ¢ `✓ <br /> ^. E <br /> Sampler(s) c Z <br /> T 0 <br /> U v <br /> Sampling Fee: Pickup Fee: 5 o O a' O c <br /> o <br /> a a a <br /> a o -S cd-0- <br /> Compositor <br /> 0Compositor Setup Date: / / Time: / E a z O a as <br /> C" E �� CI <br /> Lab Number: STK 3-17919 0 � a �., p <br /> Samp Date Time •5 ;, <br /> Num Location Description Sampled SampledN H a ra c4 O w�v <br /> 1 \Ni ` O G DW 3 <br /> :3 `'J : i...;;: s� '.iG: -;� a;�: •= ;-Rdin;wished Date: Tillie: <br /> `J� :i:,. r�&��. :i iE11 ii^,r:1`r s ✓ :�: _.a•.,: '`�L:e:Vul By: D TI <br /> Corporate Offices&La ratory 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:(53.0)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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