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WP0043043
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043043
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Entry Properties
Last modified
8/12/2024 8:52:53 AM
Creation date
4/8/2024 4:27:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043043
PE
4366
STREET_NUMBER
9417
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721025
ENTERED_DATE
3/3/2022 12:00:00 AM
SITE_LOCATION
9417 E SOUTH ORCHARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTALM AGRICULTURAL <br /> Special www.fgUnc.com <br /> AnalytiCal Chemist-,; Laboratory Copy (1 of 2) <br /> 35731:04/03/2023 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 .� <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 e° <br /> a. <br /> Phone: (209)468-3452 Fax: C7 w �, a <br /> Contact Person: Scott Sangalang <br /> Project Name: �'1�.• �iVdr' „ uC <br /> aw <br /> Purchase Order Number: r> <br /> Quote <br /> Quote Number: o <br /> 0 .. E <br /> Sampler(s) U CL. � 0 <br /> .. <br /> a <br /> a <br /> Sampling Fee: Pickup Fee: a a Z O <br /> a „ o c a <br /> Compositor Setup Date: / / Time: / E z p a a A <br /> �a �. <br /> � 3 � E is .� <br /> Lab Number: STK 3-17919 w T go <br /> 0 o t� cs:L ,n> <br /> Samp Location Description Date Time c a¢. <br /> Num Sampled Sampled F. a m ca O w <br /> G DW 3 <br /> f <br /> ?:•.r,.. .. . :c::i:�:,:.i�::r,i T: �e :'i_�,c: ?.. silez s:u::—i 'via'e` :Fteiinouished Date: 'I inle: <br /> By: Date: Time: ! <br /> $ <br /> ��y� <br /> Corporate Offices&Laboratory Office&Laboratory Office&I-aboratoty_ Office&Laboratory_ Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9411 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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