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WP0044517
EnvironmentalHealth
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EMERSON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044517
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Entry Properties
Last modified
8/12/2024 8:35:00 AM
Creation date
6/24/2024 4:03:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044517
PE
4378
STREET_NUMBER
3857
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514514
ENTERED_DATE
5/11/2023 12:00:00 AM
SITE_LOCATION
3857 E EMERSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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M =- S Special Cin OF CUSTODY <br /> P www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIi 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 <br /> Attn: Scott Sanglaang u a <br /> 1868 Fast Hazelton Ave. b ?; <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-3452 Fax: <br /> � w 3 <br /> Contact Person: Scott Sangalang Q <br /> Project Name: �1��, ��f�(���q� �U O w o a <br /> x <br /> Purchase Order Number: ,D w <br /> Quote Number: ST 20160309-01 <br /> o F <br /> Sampler(s) U `*" aO <br /> a <br /> w <br /> Sampling Fee: Pickup Fee: <br /> C. N m a� <br /> Compositor P ositor Setu Date: / / Time: / n z O x fl o z O <br /> --- -- �� cz w A F- <br /> Lab Number: STK 3-17919 o w a a y E a a o a <br /> d o v F aO 7;_ F II <br /> Samp Location Description Date Time a o = = <br /> Num Sampled Sampled w w m O U O N i1. <br /> 1 G DW <br /> i <br /> ;Re arks: ;Felin a shed date: Time.: ,Relingr_tshed Date: Time: Relinquished Date: Time: <br /> iReDate: "lsme: V Ikvd By: Date: Time: Received By: Date: Time: <br /> I <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)5254172/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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