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WP0043162
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043162
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Entry Properties
Last modified
8/15/2024 10:58:52 AM
Creation date
7/16/2024 10:44:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043162
PE
4370
STREET_NUMBER
10416
Direction
E
STREET_NAME
SOUTHLAND
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20807028
ENTERED_DATE
4/11/2022 12:00:00 AM
SITE_LOCATION
10416 E SOUTHLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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FGL Special CHAIN OF CUSTODY <br /> RAL <br /> P www.fgunc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIilllllllllllillllBIIIIIlIIIIIIillllli!lIIlliilillllll 35731:04/03/2023 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 a <br /> Attn:Scott Sanglaang 3 a I <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 9520.5 =° <br /> n. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang A,.,Vc//JN 3 16 Z Q <br /> = a <br /> C7 w o <br /> Project Name: �()4 I� S <Ge 1{L.,((t v4 U v: b <br /> Purchase Order Number: Wl u vt}Pi�,` V w 3 v <br /> B w ¢ a <br /> Quote Number: a <br /> C6 W n. aEi F <br /> Sampler(s) U * L OU <br /> x <br /> c w c <br /> Sampling Fee: Pickup Fee: c 4, O o a <br /> a•� U <br /> E r,, z O <br /> Compositor Setup Date:_/_/_ Time:_/_ v M <br /> v� E ❑E VC)- Q <br /> Lab Number: STK 3-17919 0 % a. a p <br /> 0 0 " F, 4 o� <br /> Samp Date Time "3o D u °' Q E <br /> Location ocation Description Sampled Sampled � H p° p w E; <br /> I G DW 3 <br /> i <br /> e: . -,-. i� i^C,S.aeL DP.te. Time: lRelinquished Date: Time: <br /> D-te- iimc: IRc'eive,a P'.: Date.: Time: iReceived By: Date: Time: <br /> 1 <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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