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WP0043766
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043766
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Entry Properties
Last modified
9/5/2023 11:50:15 AM
Creation date
7/20/2023 4:10:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043766
PE
4370
STREET_NUMBER
241
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
21633048
ENTERED_DATE
9/14/2022 12:00:00 AM
SITE_LOCATION
241 W JOSEPH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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CRAM OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AORICULTURAL <br /> Analytic'-11 Chemist"; Laboratory Copy (1 of 2) <br /> 35730:04/03/2023 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 \ `� <br /> a <br /> Phone: (209)468-3452 Fax: w w <br /> Contact Person: Scott Sangalang <br /> Project Name: eL -Irin <br /> " S <br /> Purchase Order Number: / > a <br /> Quote Number: ST 20160309-01 t1 v"_ �j h W ¢ 15, S <br /> C 04 ^ H <br /> Sampler(s) c zU JR <br /> cc <br /> A <br /> ao O �� ¢O W <br /> Sampling Fee: Pickup Fee: .5 c- <br /> Compositor Setup Date: / / Time: / E c 0 cx " �z d M '6 z °' <br /> ri B z O o�ca c .5Z A H <br /> Lab Number: STK �'3�jp�` 3-17919 0 a U a 2'. a <br /> a� .a a a u E b b b <br /> amp Location Description Date Time c c N �0 a� <br /> Num Sampled Sampled H a as ra O U-y V cv iZ�: iJ, iw <br /> 1 Z 1 G DW <br /> Remarks: Relinquished Date: Time: R uished ate: Time: Relinquished Date: Time: <br /> R By: Date: Time: Received By: Date: Time: Received By: Date: Tim <br /> z� fel g h /7� �-�- <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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