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WP0042835
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042835
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Entry Properties
Last modified
2/12/2024 11:00:38 AM
Creation date
3/16/2022 10:37:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042835
PE
4366
STREET_NUMBER
2758
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01323008
ENTERED_DATE
12/14/2021 12:00:00 AM
SITE_LOCATION
2758 E WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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i <br /> CHMN OF-CUSTODY <br /> ENVIROMIENTAITiz_l AORICULTUML Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. A <br /> Stockton,CA 95205 3 a. <br /> Phone: (209)468-3452 Fax: w can, x <br /> Contact Person: Scott <br /> SSaanngalan4 <br /> J O ;w&4yCA'J9Pro'ect Name: LyPurchase Order Number: Ct OO Y � ��" � tw Go a w <br /> Quote Number: ST 20160309-01 'y a ¢ `:: <br /> o <br /> Sampler(s) c Z 0 A <br /> Al)�54-e� 6B r4 0 <br /> .. <br /> M o <br /> Sampling Fee: Pickup Fee: c N Z) <br /> M <br /> Compositor Setup Date: / / Time: / Z pc N o z x -62 A <br /> Lab Number: STK �i Q 9 3-17919 o w 00,. cu.. a �_a -- a. o, <br /> c 0 H oG0 `o� = H Il <br /> Samp Location Description Date Time o 0'S c N u" u 2 <br /> Num / Sampled Sampled F., a, as M O U-• 0 c� LL. Lu jig. <br /> 1 &J�f ���� G DW 1 1,1 '7• ��/ 11: <br /> Remarks: Relinquished Date: `.,,'('imc: Relinwished .� ate: Time: Relinquished Date: Time: <br /> [jib[jibaw% 1-�� �� Ir a 6L.6 nym am <br /> Received By: Date: Time: Received By; /,Dte: Time: Re c iv d By: Date- Time: <br /> Comorate 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)7349473 <br /> Env Faz:(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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