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WP0044959
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044959
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Entry Properties
Last modified
5/10/2024 8:57:05 AM
Creation date
12/27/2023 4:06:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044959
PE
4373
STREET_NUMBER
15809
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22922002
ENTERED_DATE
10/10/2023 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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S ecial <br /> IFEIL CHAINOF CUSTODY <br /> P www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 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 a <br /> w <br /> Attn:Scott Sanglaang y x <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 O <br /> n. <br /> Phone: (209)468-3452 Fax: w S x <br /> Contact Person: Scott Sangalang Cn <br /> Cn <br /> Project Name: 1S plq <br /> Purchase Order Number: C/A (e L C A � > <br /> Quote Number: cvS3(�1 N aEli <br /> 0 W a E F <br /> Sampler(s) 0 z T <br /> ao a 0 3ti O <br /> Sampling Fee: Pickup Fee: 5 v o : a. <br /> a <br /> Compositor Setup Date: ! / Time: !_ a z p a as <br /> &0) E i�� QQ <br /> Lab Number: STK �� 3-17919 o w a r v a 0 <br /> Samp Date Time -S <br /> Num Location Description Sampled S,ampled F a° oa m O w-'tt CJI y�2. l G DW 3 <br /> C <br /> Rrmerb :- —RelinyatSRed Date: Tim Relitiunished Date: 1 Time: Relinquished Date: Time: <br /> iRecc:ve:i By: Date: Thee: lReeeived By: Date: Time: Received By: Date: Time: <br /> Cornorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Undo 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)7349473 <br /> Env Fax:(805)525-4172 1 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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