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WP0043259
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FOREST CREEK
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4277
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043259
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Entry Properties
Last modified
10/11/2022 10:09:43 AM
Creation date
10/11/2022 9:46:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043259
PE
4381
STREET_NUMBER
4277
Direction
E
STREET_NAME
FOREST CREEK
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
00511021
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
4277 E FOREST CREEK LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Client: 'v ' <br />❑ New Customer Customer Number: <br />Address: <br />Phone• �d Fax: <br />E -Mail: <br />Project name: <br />Contact person: <br />Billing Info anon (if different from above) <br />Name: �1111T" a" A .,/tQ� <br />�71 <br />Address: <br />Phone: Fax: <br />E -Mail: <br />Contact person: <br />Purchase order/contract/FGL quote number: <br />MonthlyD weeklyO Quarterly[] <br />Pre Log Required: yes Frequency: othero — <br />Date Time <br />Sample Location/Description Sampled Sampled <br />Number <br />www.fglinc.com <br />Sampler (s): <br />Comp Sampler Set up Date: Time: <br />CHAIN OF CUSTODY 0MGMI )AL <br />AND ANALYSIS REQUEST DOCUMENT <br />Rush Analysis (surcharge will apply): <br />❑5 Day 04 Day 03 Day 02 Day 024 hour <br />Rush pre -approved by lab: <br />Electronic Data Transfer: ❑yes Ono <br />Time: Mileage:—If yes, To: State <br />Pirkun Charge: Lab number: _ <br />Other <br />7b); <br />5.1to1hEe1,ond1..1.n'Llre-a(thltdocume %�Due: U R<Ilnquirbedh.: <br />Ti— Rectlad bq: Date: Tlrae: <br />/t <br />Tlmc: J Relluquithed b.: Due: Time: <br />I <br />Time: Rcrelrrd hyo Date: Timr. <br />Received <br />---co & Laboratory Office & Laboratory Offlco &Laboratory <br />G h Averu <br />`� � � Office & Laboratory 563 East Linde Avonuo 3442 Empresa Drive, Suite D 9415 w. os on e <br />Corporate O cel & Laborato 2500 Stagecoach Road Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, 9) 93291 <br />853 Corporation Street /+_ Stockton. CA 95215 TEL: (530) 343-5818 TEL: (805) 783-2940 TEL: (559) 734-9473 <br />Santa Paula. CA 93060( /���'� TEL: (209) 942-0182 FAX: (559) 734-8435 <br />TEL: (605) 392-2000 FAX: (209) 942-0423 FAX: (530) 343-3807 FAX: (805) T83-2912 <br />:-Ax (805) 525-4172 <br />a` <br />at <br />a <br />= <br />o <br />J <br />v <br />N <br />_ <br />O <br />s <br />to <br />v y <br />O <br />v <br />= L <br />O <br />v <br />Y a <br />C: <br />v <br />a <br />a <br />z O <br />O <br />d <br />O m C <br />O <br />LnA <br />j <br />Cr <br />H <br />CL, <br />o>c <br />o <br />%¢ <br />O <br />F <br />a <br />•� <br />w <br />M ` <br />� <br />J <br />U <br />at <br />Q <br />.y <br />C <br />a <br />�7n <br />t—�a <br />o <br />♦— <br />ym3 <br />N <br />- <br />4) <br />cc <br />a <br />+ <br />= <br />Eo <br />? o <br />o, <br />o <br />V <br />a`, <br />c <br />1— <br />n o <br />o <br />— <br />a: <br />o <br />2 <br />E <br />a, <br />O <br />w <br />a <br />Z O <br />w <br />Cn <br />tp <br />at aJ <br />Z <br />tV H <br />� <br />H <br />C <br />.-. z <br />� <br />� <br />c S_ <br />d <br />3 3 to <br />to <br />v <br />� <br />3� <br />rn <br />a <br />0 <br />Y r <br />Z <br />'M <br />J <br />n <br />N <br />c - tLN <br />ttoo <br />o <br />v°?o <br />Ln <br />_ <br />o� <br />~ <br />v(� <br />a <br />r^ <br />a <br />5 <br />c <br />W <br />'_ �, <br />a <br />E <br />O <br />n0 <br />3 <br />N <br />Z <br />Qt <br />C1 <br />1 <br />> <br />a <br />l7 3 <br />m <br />J <br />a <br />Other <br />7b); <br />5.1to1hEe1,ond1..1.n'Llre-a(thltdocume %�Due: U R<Ilnquirbedh.: <br />Ti— Rectlad bq: Date: Tlrae: <br />/t <br />Tlmc: J Relluquithed b.: Due: Time: <br />I <br />Time: Rcrelrrd hyo Date: Timr. <br />Received <br />---co & Laboratory Office & Laboratory Offlco &Laboratory <br />G h Averu <br />`� � � Office & Laboratory 563 East Linde Avonuo 3442 Empresa Drive, Suite D 9415 w. os on e <br />Corporate O cel & Laborato 2500 Stagecoach Road Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, 9) 93291 <br />853 Corporation Street /+_ Stockton. CA 95215 TEL: (530) 343-5818 TEL: (805) 783-2940 TEL: (559) 734-9473 <br />Santa Paula. CA 93060( /���'� TEL: (209) 942-0182 FAX: (559) 734-8435 <br />TEL: (605) 392-2000 FAX: (209) 942-0423 FAX: (530) 343-3807 FAX: (805) T83-2912 <br />:-Ax (805) 525-4172 <br />
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