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WP0045420
EnvironmentalHealth
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MARIPOSA
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20287
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045420
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Entry Properties
Last modified
9/30/2024 9:24:29 AM
Creation date
7/2/2024 3:05:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045420
PE
4378
STREET_NUMBER
20287
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
20515021
ENTERED_DATE
4/5/2024 12:00:00 AM
SITE_LOCATION
20287 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Special Cxmrl OF CUSTODY <br /> . AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> I�IIII�IIIIINIUIII�IIII��IIIIIIIIIIIIIIIIIIIIIIIIIII�I 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 1 <br /> Atm: Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. <br /> v <br /> Stockton,CA 95205 3 Q <br /> Phone: (209)468-3452 Fax: <br /> ;��0 `�cy� <br /> Contact Person: Scott Sangalang 5 b ¢ <br /> = a <br /> Project Name: Z07,F:? ✓ � i fix'`� �� v N v� <br /> }o c V,dr-"' CA ClSZIS <br /> Purchase Order Number: y ,o uj <br /> Quote Number: ST 20160309-01 a ¢_� <br /> Sampler(s) O -a <br /> U * v a a O <br /> x <br /> Sampling Fee: Pickup Fee: ° o °O n <br /> Cu, cn N <br /> Compositor Setup Date: / / Time: / E °' z 0 x v °_' ° L O z `' <br /> --- -- O c� oz c iy A F- <br /> o ,n <br /> _ x x <br /> Lab Number: STK 3-17919 0 a <br /> v a a i a <br /> 1% co <br /> Samp Date Time v fl <br /> .v o o ,�—,x v <br /> Num Location Description Sampled Sampled FT- a° M ca O U C7 N ii a — ii <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> M <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office 8 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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