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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
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SJGOV\gmartinez
Tags
EHD - Public
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FGL Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL . , P www.fgUnc.com <br /> Analytical Chemists — Customer Copy (2 of 2) <br /> II�IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 35730:11/01/2023 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 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. I <br /> Stockton,CA 95205 3 =' <br /> a <br /> Phone: (209)468-3452 Fax: * a <br /> c7 <br /> Contact Person: Scott Sangalang n Q Q L a <br /> Project Name: tF"tr'S=^ i=, <br /> Purchase Order Number: w <br /> Quote Number: ST 20160309-01 x <br /> Sampler(s) ; o z > O <br /> O <br /> * o O .5� QO ° W <br /> Q. = x£-- <br /> Sampling Fee: Pickup Fee: � � � G.cC14 <br /> c N cn <br /> Compositor Setup Date: / Time: / E z p <br /> Nc c z <br /> Lab Number: STK 3-17919 65 <br /> > yEa <br /> O c H II <br /> Sam p Location Description Date Time v a o o cw y C:, " v <br /> Num Sampled Sampled >� F a w m O U— O N c% <br /> 1 G DW <br /> i <br /> I <br /> —{s <br /> Remarks: Relinquished Date: "rime: Relinquished Date: Time: Relinquished Date: Time <br /> i <br /> Received By: Date: Time: Received By: Dare: 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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