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WP0042335
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042335
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Entry Properties
Last modified
3/4/2024 11:06:25 AM
Creation date
3/16/2022 9:49:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042335
PE
4366
STREET_NUMBER
25203
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540005
ENTERED_DATE
7/23/2021 12:00:00 AM
SITE_LOCATION
25203 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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-- CHAIN OF CUSTODY <br /> ENVIRONMENTAL'-7--Ll:�- AGRICULTURAL <br /> Special wumfgUnc.com <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> 35730:01/01/2024 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 9 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 0. <br /> Phone: (209)468-3452 Fax: * �_ <br /> Contact Person: Scott Sangalang y <br /> Project Name: �Zp�3 /1ij�/�jl�1c4 P14C� v wv� ��v o <br /> `VJ W <br /> Purchase Order Number: /�r•M y w¢ a <br /> Quote Number: ST 20160309-01 W, Z33. x E E, <br /> Samplers) c z ,� A <br /> /v _ _ <br /> Sampling Fee: Pickup Fee: _ ; c cn M <br /> O <br /> Compositor Setup Date: I I Time: / E �,, z p a: .=z �, cc <br /> v) 8 Gn c� S x i:. A H <br /> Lab Number: STK �' 3-17919 c c 06 rx 0 a_ a_ <br /> & N <br /> -= a � r E 'C b •2 <br /> amp Location Description Date Time a0.s �c 'U.S o N <br /> Num Sampled Sampled E., a aq M O V-y O <br /> 1 :per' G DW 1 1,1 Z ��� QD <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> a 'Z ke-Q,4 n0i <br /> MC c2 LLI ?2w <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> G <br /> V. <br /> I <br /> ELL- <br /> Corporate Offices 8 Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 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)7349473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fa)i:(559)7348435 <br />
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