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WP0043751
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043751
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Entry Properties
Last modified
6/7/2024 9:05:37 AM
Creation date
5/30/2024 4:28:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043751
PE
4378
STREET_NUMBER
23861
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22615026
ENTERED_DATE
9/7/2022 12:00:00 AM
SITE_LOCATION
23861 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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---= Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIII���IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII 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. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 Q <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q <br /> o pC, <br /> Project Name: c7 a e �n c — <br /> Purchase Order Number: U w 3 v <br /> W Q <br /> Quote Number: ST 20160309-01 r� <br /> Sampler(s) Ez O A <br /> a a O <br /> * o .ca d0 W <br /> Sampling Fee: Pickup Fee: S c Cn c <br /> c = o a-u v C'4 <br /> Compositor Setup Date:_/_/_ Time:_/_ M a Z O c ; —Z C Oz Ca H <br /> E 0 <br /> Lab Number: STK 3-17919 0 a T E <br /> E H II <br /> Samp kation Description Date Time a o o N o �—„ ,�—, IU <br /> Num Sampled Sampled � O <br /> E. p m m u- <br /> 1 G DW <br /> e�„y y� Ting: IRel ncu;shed Dare: Time: Relinquished Date: Time: ! <br /> {s. <br /> { — "� :•:iv''BV: Date: -imu:`Received By: Date: Time: <br /> t <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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