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WP0043014
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043014
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Entry Properties
Last modified
12/23/2024 2:47:32 PM
Creation date
4/8/2024 4:40:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043014
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
16050
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
02110003
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
16050 E LIBERTY RD GALT 95632-
Tags
EHD - Public
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Mr CHAIN OF CUSTODY <br /> ENVIRONMENTAL .-`_�.�' AGRICULTURAL Special mmm fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 1311111911 MIMIMINNIMI lop 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County ERD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. 4) <br /> Stockton,CA 95205 3 :6 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang `��� v <br /> Project Name: ,� �i• I-IV v0 <br /> Purchase Order Number: 3 W <br /> Quote Number. N a ¢ E <br /> Sampler(s) Z <br /> Sampling Fee: Pickup Fee: E a' O v a <br /> a U <br /> Compositor Setup Date: I I Time: I Ei �, Z O Q <br /> � <br /> Lab Number: STK 3-17919 0 <br /> 15a�" CU <br /> 10 E, >; Al o <br /> Samp Date Time �S <br /> Num Location Description Sampled Sampled F a° m M O w <br /> G DW 3 <br /> iRemarks: Reiinquished �"'z D Ticj:c. ,Relrat;cc'ar d I Daw Time: Relinquished Date: Time: <br /> Zo I 10D FA_ <br /> Received Bc: Date: Time: Received By Date Time: Received By: Date: Time: <br /> /10 <br /> Corporate Offices&Laboratory Office 8 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 93050 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)7.34-9473 ✓� <br /> Env Fax:(805)525-41721 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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