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WP0045379
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045379
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Entry Properties
Last modified
8/5/2024 2:43:45 PM
Creation date
6/7/2024 9:27:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045379
PE
4378
STREET_NUMBER
12445
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00720023
ENTERED_DATE
3/25/2024 12:00:00 AM
SITE_LOCATION
12445 LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL CfWN OF CUSTODY <br /> E.NVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> I 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sa alang c. :6 <br /> Q <br /> Project Name:\--\A'-kb O Gn cc w <br /> Purchase Order Number: W a <br /> Quote Number: y <br /> .. <br /> Sam ler(s) w Z H O <br /> p O <br /> * a 0 � O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_ I I Time: I E a <br /> — cocc rA <br /> E A <br /> Lab Number: STKWJ( 4.7119 3-17919 0 w p <br /> tn <br /> 0 C4 <br /> Samp Location Description Date Time U g Q E <br /> a� .: :. a� <br /> Num p Sampled Sampled >.: H a ' pq p W <br /> G DW 3 <br /> Remarks: W— Relinquished `� Timc: I e tncj shed � ate: Time: Relinquished Date: Time: <br /> JRL1,CA� By- Date: Ti:nC: Received By: Date: Time: Received By: Date: Time: <br /> el / <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 9415 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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