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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
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SJGOV\gmartinez
Tags
EHD - Public
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CHAM. OF CUSTODY <br /> ENVIRONMENTA1,11— AGRICULTURAL <br /> Special www.fgUnc.com <br /> �rAnalytical ChemisIs Laboratory Copy (1 of 2) <br /> 35731:0110112024 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EiHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. U <br /> Stockton,CA 95205 3cc <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott SangalangS Q 2 <br /> Project Name: C O W �' o -- <br /> cc <br /> rA cc <br /> Purchase Order umber: <br /> oyU�� y W <br /> Quote Number: o; E <br /> Sam ler(s) E w Z y 0 <br /> p o cn �. �, O <br /> o O gyp" <br /> Sampling Fee: Pickup Fee: a <br /> a „ c $ x.0 U <br /> Compositor Setup Date: I l Time: I S �, Z O <br /> v� cc A Q <br /> Lab Number: STK 3-17919 o s 0. v O <br /> c 0 a; H aO �> <br /> Samp ate Time ;, Q' <br /> Num Location Description Sampled Sampled E'. a° cc M at O w v <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ALQW�0 --7 01-7 1 nc�) <br /> 167J- I //'a %. 16-Q Q!A- <br /> v <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&R Laboratory Office&Laboratory Office&Laboratory Office&Labaratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Sw e 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/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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