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WP0042573
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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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S ecial CHMN OF CUSTODY <br /> • . -- P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IUIIIII�I�II�'��I��III�IIIII�=�I�IIIIIIIIIIIIIIIIIIIIIIIII) 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 i <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> n, <br /> Phone: (209)468-3452 Fax: <br /> c7 w 3 x <br /> Contact Person: Scott Sangatang O Q i a <br /> �`\ C7 w <br /> Project Name: o(� ��v moi_ a � yr <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> y E F <br /> a w p^, F <br /> Sampler(s) E :: <br /> iZ lu Q <br /> * =a M a O <br /> o <br /> S a° O r � xFw- <br /> Sampling Fee: Pickup Fee: _ ; I- a. <br /> , o-'; s u) a� <br /> tN M <br /> Compositor Setup Date: ! /— Time:—/_ E —n z O x v z O u Z E <br /> z <br /> ri E o o c LZ Q E� <br /> Lab Number: STK 3-17919 o V2 iE ; o V w x <br /> ti� x x <br /> 0 w F <br /> o 0 a ? a F II a a <br /> oSamp Date Time $, b xa <br /> 2a� <br /> b <br /> on o V n L'Location Descriptid Sampled � ` _:Num Sample F <br /> w w <br /> 1 G DW <br /> i E <br /> nq Si;ed Date: Ti.mc: it,l--aquished Date: Timc: Relinquished Date- Time: <br /> s 7 I.�ec ea�?. \ T '??ec:ivcd By: Da i__t_.: IRecei ed By: Date: Time: i <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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