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WP0044831
EnvironmentalHealth
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EMERSON
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3914
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044831
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Entry Properties
Last modified
7/23/2024 8:19:35 AM
Creation date
7/1/2024 4:09:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044831
PE
4370
STREET_NUMBER
3914
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514522
ENTERED_DATE
9/7/2023 12:00:00 AM
SITE_LOCATION
3914 E EMERSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGZ Special Cxmri OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL <br /> www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> 111111!IIIIIIHIIIHIINIIIIIIIIIIINNIIIIIIIIIIIIIIIIIIIII _ 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD i <br /> Address: San Joaquin Co. Environmental IIealth Dep <br /> Water Quality Division a <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> c <br /> Phone: (209)468-3452 Fax: w <br /> Contact Person: Scott Sangalang Q <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> 5' <br /> 7 w ¢ x <br /> Quote Number: ST 201603011" N x <br /> W a Q <br /> Samplerzs) o vwi z >, O a -� <br /> U * cn a O <br /> o p 5 ° QO ° w <br /> Sampling Fee: Pickup Fee: 5 ° ;, o °eq Q <br /> c <br /> fl. y oM ;`" .o z y a> <br /> Compositor Setup Date: /_/_ Time:_/ Z O = o z c Q F <br /> o x <br /> Lab Number: STK 3-17919 oa. O E a <br /> E 11 <br /> Samp Date Time Q ° -! coa o <br /> Location Description od ° " ,Num Sampled Sampled E- a U, 0 LLxn <br /> cv <br /> o <br /> _: P. u <br /> 1 G DW <br /> I <br /> IIS---- <br /> IRe:inyuishrd Lta'e: T;mc: ;Re inyuished Date: Time: Relinquished Date: Time: I <br /> __..3C.Bv: ,zte.' t!:te: jReceivect Bv: Date: time: Received By: Date: Time: <br /> r <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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