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WP0043893
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043893
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Entry Properties
Last modified
4/17/2024 11:27:43 AM
Creation date
2/2/2024 10:52:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043893
PE
4378
STREET_NUMBER
3782
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514528
ENTERED_DATE
10/5/2022 12:00:00 AM
SITE_LOCATION
3782 E EMERSON 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 Cxmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIII IIIII VIII II IIIII IIIIII IIIII IIIII IIIII VIII IIII IIII 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 3a <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang R A ¢ 2 <br /> Project Name: 7Z�JYJf�/'�1•^/L�'I �'l►^ ! C7 W = o rx <br /> rn <br /> Purchase Order Number: > ¢ ax <br /> Quote Number: TT JO a <br /> Sampler(s) o w z r 0 <br /> 1 a E <br /> Sampling Fee: Pickup Fee: 0. con O <br /> u o w <br /> Compositor Setup Date: / / Time: / E z O �4 <br /> Lab Number: STK 3-17919 0 c% a_ o. p <br /> C <br /> Samp Date Time ; '� v Q E <br /> Num Location Description Sampled Sampled H a o0 oo O W-I- <br /> G <br /> G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Ry: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&LaboraLga <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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