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WP0043893
Environmental Health - Public
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EMERSON
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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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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=-= Special Cimrl OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIII�IIIII I�III I�IIIIIIIIII II I II�,III IIIII'II 35730:01/01/2024 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 i <br /> Water Quality Division a I <br /> Attn: Scott Sanglaang 3 x <br /> 1868 East Hazelton Ave. t ,a <br /> Stockton,CA 95205 3 11 <br /> v <br /> Phone: (209)468-3452 Fax: <br /> � w 3 <br /> Contact Person: Scott SangalangCn <br /> O ¢ aF <br /> C7 W 2 o a <br /> Project Name:Z'1!%r P��w n� ✓J/Q�� V, 3 <br /> Purchase Order Number: / (���7� U w a —' <br /> Quote Number: ST 20160309-01 _ x E <br /> Sampler(s) E w z t, Q <br /> * C a O <br /> ¢° W <br /> Sampling Fee: Pickup Fee: _ ° ':5a N x E- <br /> = a` ,o - v) n <br /> Compositor Setup Date: /_/ Time: O a 2 v MO Z E <br /> 0 6 z <br /> v <br /> Lab Number: STK 3-17919 0 % a a a U ai x u x x <br /> o <br /> n o H a E- II <br /> Samp Date Time a °' w o o x <br /> Location Description o , o N v <br /> Num Sampled Sampled M, co M O v -- QLL <br /> 1 G DW <br /> �Remala Relinquished Dace: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Dare: 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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