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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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Special Cl�rl OF CUSTODY <br /> FOE www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> Analytical Chemists <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII�IIIIIIIII��IIIIII 31730:01/01/2024 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 3 a <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton.Ave. <br /> Stockton,CA 95205 3 r <br /> 'L <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q Q <br /> = x <br /> Project Name: c V) <br /> z 'Zo ,����<< playw t a 3 a - <br /> Purchase Order N inbe. ,� ` V O1 v Ul <br /> G ,.y.t ¢ x <br /> Quote Number: ST 20160309-01 <br /> aF- <br /> Sampler(s) U * O O <br /> ¢O W <br /> Sampling Fee: Pickup Fee: g <br /> c � <br /> Compositor Setup Date:_/ /_ Time: _/ E a z O z v 0 v z E <br /> n E ° c zF- <br /> x <br /> Lab Number: STK 3-17919 <br /> Samp Location Description Date Time y T y o C) v o v n <br /> Num Sampled Sampled a m m O U <br /> 1 G DW <br /> emark:: Relinquished Date: Time: Relinquished llate: I ime: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Titnc: <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 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)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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