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WP0044266
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044266
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Entry Properties
Last modified
7/23/2024 8:22:24 AM
Creation date
5/2/2023 3:20:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044266
PE
4378
STREET_NUMBER
19812
Direction
E
STREET_NAME
GAWNE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18510002
ENTERED_DATE
2/13/2023 12:00:00 AM
SITE_LOCATION
19812 E GAWNE RD
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 /> ENV I AOR I CULTURAL <br /> Special www.fglinc.com <br /> Laboratory Copy (1 of 2) <br /> 1111Nil ID111I M 1111111111 IN IM 35730:11101/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County ERD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division ^ j <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: ?/66 <br /> ,♦G A <br /> Contact Person: Scott Sangalang L�pm 4 4 <br /> 1�t aa Z Gccc.v+�e CA 0 w c a <br /> Protect Name: O <br /> Purchase Order Number: SZI <br /> Quote Number: ST 20160309-01 �S S y �w <br /> Sampler(s) 1 �Q� E C01) g, O A <br /> * o C.44 CA <br /> OQO <br /> Sampling Fee: Pickup Fee: c °; ? ?� c.E" <br /> cd <br /> Compositor Setup Date: 1 I Time: / & Z p z O Z43 Z cc <br /> cc <br /> E <br /> 0 E v� .. <br /> Lab Number: STK ( l 3-17919 o w a y•• U co a iu' a a <br /> Samp Location Description Date Time a, � 0 � � =o c o •a 0 <br /> Num p Sampled Sampled F, a° m oa O U C7 N w-_`:'' ww <br /> l WeLLketzCA L( ►W� G DW 1 1,1 �. ��4 t! <br /> i7)::i�i.•.„_.... (:__...a_1::ice.. ..'::: _ti'.L::: j:\::��i�i'i::Ii�J .'.'..�.: ':�C:::... �E[i�ll:r"ui$l1Ea Date: i iIl)C'.. i <br /> i <br /> 1 � <br /> 61l rl2 ��` Sw Z �o <br /> �I•' �i:'cts 13}: Date: 1'inl�: <br /> Coraorate Offices&Laboratory Office&Laboratory ce or <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 1 <br />
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