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WP0042659
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042659
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Entry Properties
Last modified
9/6/2023 8:20:06 AM
Creation date
8/17/2023 1:36:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042659
PE
4366
STREET_NUMBER
25352
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540002
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
25352 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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FGL Special CHA11Y OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIII IIIII IIIII I IIIII IIIIII VIII IIIII IIIII IIIII IIIIIIII 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 a <br /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> o. <br /> Phone: (209)468-3452 Fax: t' <br /> c7 w 3 <br /> Contact Person: Scott Sangalang Q ¢ a <br /> Project Name: ;2, AJ, CI �(C� C7 rn <br /> l!c( 3 a <br /> Purchase Order Number: > on � W <br /> Quote Number: ST 20160309-01 a ¢ fz' <br /> E F- <br /> Sampler(s) , i + U 0 a Q <br /> a O <br /> 6ia0 O W <br /> Sampling Fee: Pickup Fee: ° o °� o F" <br /> Compositor Setup Date: / / Time: / E a z p O b 2 E <br /> --- E c� 'oZ cz v <br /> o is A F <br /> Lab Number: STK 3-17919 0 a c m U x y x x <br /> > a) E a <br /> o H x- w- NII <br /> o ' <br /> Samp Date Time -E n a .0 o o ?' '—' <br /> Num Loc tion escripti Sampled Sampled �' ' o ° cd r4 r '� <br /> P P F- a A A O U 0 <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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