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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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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Special Cion OF CUSTODY <br /> put P www.fgUnc.com <br /> ENVIRONMENTAL . , <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 35731:04/03/2023 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 a <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 �° <br /> v <br /> Phone: (209)468-3452 Fax: <br /> w 3 <br /> Contact Person: Scott Sangalang �P/4 <br /> Q <br /> Project Name: ✓ f Q j �� I Q� O W °= ° 't <br /> Purchase Order Number: <br /> Gly WQuote Number: — w <br /> w El E <br /> Sampler(s) EW Z O <br /> Sampling Fee: Pickup Fee: O <br /> c o 5 a <br /> Compositor Setup Date: / / Time: / E o, z O x <br /> -- E i� q <br /> Lab Number: STK 3-17919 0 Cn a ow m p <br /> 0� <br /> Samp Date Time -S o 0 ° Q <br /> Num Location escripti Sampled Sampled ' E' a° p w o= <br /> I G DW 3 <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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