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WP0042284
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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15401
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042284
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Entry Properties
Last modified
11/19/2024 4:01:50 PM
Creation date
3/10/2022 4:53:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042284
PE
4370
STREET_NUMBER
15401
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366-
APN
20308018
ENTERED_DATE
7/14/2021 12:00:00 AM
SITE_LOCATION
15401 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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1 <br /> Special CHAIN OF CUSTODY <br /> FG® P <br /> . , <br /> I,"-rTx6NMENTAL www.fglinc.com <br /> Analytical Chemist 0 <br /> Customer Copy (2 of 2) <br /> 1111111131Mil E110110111111 Ell111111111111111U1 35731:04/03/2023 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: San 5oanuin Countv EHD <br /> Address: San Joaquin Co.Environmental Health Dep � <br /> Water Quality Division 3 aa^ <br /> Attn: Scott Sanglaang n <br /> 1868 East Hazelton Ave. ?; <br /> Stockton,CA 95205 3 =° <br /> a <br /> v <br /> Phone: (209)468-3452 Fax: c� <br /> Contact Person: Scott Sangalang ¢ E <br /> 1V W O x <br /> Project Name: ,C, 2,0 <br /> �'G,) � ��„� <br /> Purchase Order Number: �1 1x� CA <br /> Uw 3 a"i <br /> 1V > ¢ x <br /> Quote Number: <br /> Sampler(s) o Z O <br /> U * _ <br /> * rx <br /> Sampling Fee: Pickup Fee: c ° =1— a <br /> .Q C y O 7, <br /> Compositor Setup Date: / / Time: / m Q 2 O Q <br /> Lab Number: STK 3-17919 0 ii n p <br /> T N <br /> Samp Date Time a 5 y Q E <br /> Num Location Description Sampled Sampled H a m p w":t <br /> 1 G DW 3 <br /> I <br /> r .-;; lRelinquished Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dare: lime: Received By: D au.: Time: Received By: Date: Time: i <br /> Corgorate 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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