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WP0043766
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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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CHAIN OF CUSTODY <br /> - Special ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> 11111111111111111111 I 1111 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 3 aa. <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. N a <br /> Stockton,CA 95205 � 2j1 3 <br /> a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang 1, � <br /> Project Name: M 'o <br /> A <br /> Purchase Order Number: ,/ ti C U w v <br /> Quote Number: ST 20160309-01!' { ti a a a _ <br /> n E F: F <br /> Sampler(s) E w z N A <br /> �J{�' p <br /> Sampling Fee: Pickup Fee: E ° a C4 x F- <br /> c <br /> Compositor Setup Date: /_/_ Time:_/_ E zp a z v O v z E <br /> v: Eo� o gzF- <br /> Lab Number: STK 3-17919 0 a a a m a o <br /> b o H W O H II <br /> SampDate Time � °' 6 <br /> Location Description v a o E o o o ;,x v 6 <br /> Num Sampled Sampled ET �, Gq �q O U C7 N iz a is. ii <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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