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WP0044048
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044048
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Entry Properties
Last modified
6/11/2024 8:21:11 AM
Creation date
3/20/2024 2:29:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044048
PE
4380
STREET_NUMBER
5790
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00518016
ENTERED_DATE
11/14/2022 12:00:00 AM
SITE_LOCATION
5790 E JAHANT 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 �- RA www.fglfnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII 35731:08/02/2021 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: Michael Kith a <br /> 1868 East Hazelton Ave. 3 d) <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith A ¢ 4 <br /> n� o x <br /> Project Name: h � '�5 <br /> Purchase Order Number: v W 3 v c <br /> > °° Y a O <br /> Quote Number: H a Q `� a <br /> H <br /> Sampler(s) 0 co O A <br /> o p ea <br /> Sampling Fee: Pickup Fee: c c u o Q <br /> y o -S a'v a <br /> Compositor Setup Date: / 1 Time: E ci z O N W <br /> Lab Number: STK 3-17919 0 C21 a a .. > <br /> 0 0 <br /> Samp Date Time — a0 E <br /> Num Location Description Sampled Sampled a ca w O ri a <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <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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