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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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SJGOV\sballwahn
Tags
EHD - Public
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xM .of CUSTODY. <br /> Special www.fgUnc.com <br /> Analytical Ow-misis <br /> 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 <br /> Stockton,CA 95205 c. <br /> as <br /> Phone: (209)468-3452 Fax: 1-% ur] F N_ a <br /> Contact Person: Scott SangalanVv � `l./ <br /> Project Name: V�' l ( 0 Cn n <br /> Purchase Order Number: & a <br /> Quote Number: y a ¢ v .. <br /> Sampler(s) z <br /> 0 Go <br /> �1 a <br /> C >~ <br /> Sampling Fee: Pickup Fee: c °i c a <br /> C <br /> Compositor Setup Date: I I Time: I E Q, z O a4 <br /> Lab Number: STK84595 3-17919 ow A. v.. O <br /> 04 O a <br /> Samp Location Description Date Time c a n <br /> Num Sampled Sampled E, a as oa O w v <br /> � 'Q G DW 3 <br /> ICY - _ - - - . - <br /> :".:. i::._:_. �s::.i13:.:it '.!::: ``�LJc^.•'M' :i::C. �'La:�t!1Cii::"lig.' Lia c: i ince: Relinquished Date: Time: <br /> (0Z11-Z7-V /100 <br /> .Jil`•' i.:i:.`.: i���'�.:i:lvL��✓�'• r�i:�: l:rltC: ekvC:d By: Date: Time: <br /> Z-1 <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 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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