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WP0043737
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043737
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Entry Properties
Last modified
5/29/2024 4:46:15 PM
Creation date
10/23/2023 10:53:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043737
PE
4370
STREET_NUMBER
15809
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22922002
ENTERED_DATE
9/1/2022 12:00:00 AM
SITE_LOCATION
15809 S VICTORY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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• FUL Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL F AGRICULTURAL www.fgUnc.com <br /> L Analytical Chemists Customer Copy (2 of 2) <br /> 1111111111111 IN E IIIIIININIIIIIIIIIIloll IIIIIII11IN 35730:11/01/2023 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 Sanglaana 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 �' <br /> a <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang Q <br /> c x <br /> Project Name: C7 vwi <br /> Purchase Order Number: U W 30 v ui <br /> Quote Number: ST 20160309-01 y a ¢` " �_ <br /> 5 F" F- <br /> Sampler(s) o vWi z > O Q <br /> U O <br /> * x <br /> Sampling Fee: Pickup Fee: c ° „ o a �� <br /> c _ v <br /> o w <br /> Compositor Setup Date:_/_/ Time:_/_ E o z O Z O '0—„z E <br /> _z <br /> E <br /> Lab Number: STK 3-17919 0 a o U x x x <br /> 0 0 F <br /> a o� <br /> Samp Date Time r `=p ?oa E~ II ba b <br /> Location Description a) 0. 0 °o <br /> Num Sampled Sampled '' r+ 'n � <br /> O U a <br /> 0 <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Tinve: <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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