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WP0044148
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044148
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Entry Properties
Last modified
3/4/2024 11:07:53 AM
Creation date
2/13/2024 11:13:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044148
PE
4370
STREET_NUMBER
9945
Direction
W
STREET_NAME
BENSON FERRY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00111004
ENTERED_DATE
12/14/2022 12:00:00 AM
SITE_LOCATION
9945 W BENSON FERRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists M Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIf IIIIIIIIIIIII 35731:01/01/2024 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 <br /> Water Quality Division 3 a <br /> Attn: Scott Sanglaang cx <br /> 1868 East Hazelton Ave. <br /> y U <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3452 Fax: <br /> c7 w 3 <br /> Contact Person: Scott Sangalang d x <br /> Project Name: vw <br /> Purchase Order Number: /. % j > 3 a <br /> w ¢ � <br /> Quote Number: ( o x _ <br /> SamplerE w s) o Cn z > O <br /> U * V) a <br /> o O <br /> Sampling Fee: Pickup Fee: ;, o� a <br /> rx U <br /> Compositor Setup Date: /-/ Time:_/ Q z O a <br /> Lab Number: STK 3-17919 c a a O <br /> Samp Date Time -5 Q E <br /> Num Location Description Sampled Sampled FT 0 m m O ca <br /> l G DW 4 <br /> Remark,: (Relinquished Date: Time: Relinquished Date: Time: !Relinquished Date: r:mc: <br /> i <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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