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WP0042573
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042573
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Entry Properties
Last modified
8/5/2024 2:41:05 PM
Creation date
6/11/2024 8:23:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042573
PE
4366
STREET_NUMBER
6418
Direction
E
STREET_NAME
VINA
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08672011
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
6418 E VINA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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Special Cxmri OF CUSTODY <br /> ENVIRONMENTAL�. AGRICULTURAL www.fgunc.com <br /> Customer Copy (2 of 2) <br /> Atialytical Chemists <br /> pll� 35731:04/03/2023TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> ent: 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. 3 <br /> Stockton,CA 95205 = <br /> a. <br /> a� <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang A <br /> Project Name: t L „ <br /> Purchase Order Number: f a <br /> Quote Number: x <br /> E <br /> Sampler(s) E w z <br /> O V) T <br /> OQ C Lti G <br /> Sampling Fee: Pickup Fee: c ;, o v' a, <br /> Compositor Setup Date: / / Time: / E o. z p x <br /> Lab Number: STK 3-17919 0 V2 ii a � p <br /> T d <br /> Samp Date Time -5 <br /> Num Location Description Sampled Sampled E' a w ca O w <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> (Received By: Date:l Tinge: Received By: Date: Time: Received By: Date: Time: <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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