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WP0043412
Environmental Health - Public
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ELLIOTT
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043412
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Entry Properties
Last modified
10/8/2024 1:46:38 PM
Creation date
4/8/2024 4:58:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043412
PE
4366
STREET_NUMBER
29000
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00719018
ENTERED_DATE
6/23/2022 12:00:00 AM
SITE_LOCATION
29000 N ELLIOTT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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_ CHAIN. .01F CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Owmis(s Laboratory Copy (1 of 2) <br /> It�II�IE t k i'IiII I 35730:11/0112023 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 /> Atm:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)46$-3452 Fax: w 3 c ^ <br /> Contact Person: Scott Sangalang10. <br /> Project Name 1�� (�\\` ��,PnVyj 1�0,'�( C7 W 0� v�oo _. <br /> yy�`►+ A` �6 Y I U`�""` v� � <br /> Purchase Order Number: Ln CL <br /> – <br /> Quote Number: ST 20160309-01 94 ¢LU E <br /> Sampler(s) c Z Q <br /> ^u * r � � a o <br /> �a 0 x <br /> °° a O �"' a0 xH <br /> 9 <br /> Sampling Fee: Pickup Fee: — c ; o � �N M a� <br /> a. a' Z Q a a0i a; .a E O 'a Z r <br /> Compositor Setup Date: / / Time: ! E a, .,z <br /> `° c a c , Gz <br /> Lab Number: STK e5(p 3-17919 w a �; a a <br /> t n N.fir <br /> 0 0 , HL 0' CO.'�r <br /> H <br /> SamDate Time ° <br /> ' Location Description aw 0�l:' wI wNum Sampled Sampled O UON6o t <br /> G DW <br /> �v ' <br /> Tl:i::' i i i:;.:}:':Bili'- Date: Ti"lle: <br /> �3� r � `G�s <br /> _ <br /> 12-X <br /> _..__..____ <br /> `w� , lri..�•3s1 i• ii'. t G'.... 1�:':_:'�: !aT'" '..:C' .iii" Date: 1lTt1�: i <br /> t �e 69l <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office 8 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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