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WP0044003
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044003
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Entry Properties
Last modified
8/1/2024 8:01:45 AM
Creation date
7/30/2024 9:50:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044003
PE
4366
STREET_NUMBER
27215
STREET_NAME
EDWARDS
STREET_TYPE
AVE
City
ESALON
Zip
95320-
APN
20721013
ENTERED_DATE
10/31/2022 12:00:00 AM
SITE_LOCATION
27215 EDWARDS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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S CHAirl OF CUSTODY <br /> U Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Customer Cody (2 of 2) <br /> Analytical Chemists <br /> jIIIII!!I!j►.IIIIi;iI.III!IIIIIIIIIIIIIIIIIRIIIIIIIIIIIIIIII 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 a <br /> Attn: Scott Sanglaang rx <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: <br /> � w 3 <br /> Contact Person: Scott Sangalang <br /> Ave, <br /> Project Name: A <br /> I C �� (...�,,✓C.�S JC <br /> Purchase Order Number. > uj <br /> Quote Number: ST 20160309-01 a Q <br /> CL E F= E= <br /> w y Q <br /> SamplerE z <br /> Sampler(s) U * a a 0 <br /> U_ i.e � <br /> u)Cv� o o a ¢o x <br /> Sampling Fee: Pickup Fee: 5 ? y o a aF <br /> 0 c� cn Z v <br /> ai O E <br /> O rj ti''U aj �y y b z <br /> Compositor Setup Date:_/_/_ Time:—/— <br /> o <br /> z <br /> U� <br /> Lab Number: STK 3-17919 <br /> > v Ea a v a a <br /> 'D o w H u:� <br /> Samp Location Description Date Time � n o °� o N IU 0 a v <br /> Num Sampled Sampled 2 F a ro m O U-� C7 N <br /> G DW <br /> t <br /> I2,_ ,,.1 IRelirauis..:_d i... . i Celi^Guist er. ' Date: Time: (Relinquished Date: Time: <br /> ( t^e By. Da.e. Cl <br /> at�J i:cceived By: <br /> % .,.:,e: {Received By: — <br /> Date: Time. f <br /> f <br /> f ! ! <br /> Corporate Offices&Laboratory Office&Laboratory Office 8 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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