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WP0043780
Environmental Health - Public
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23197
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043780
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Entry Properties
Last modified
8/12/2024 8:43:01 AM
Creation date
4/12/2024 11:07:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043780
PE
4366
STREET_NUMBER
23197
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00716010
ENTERED_DATE
9/15/2022 12:00:00 AM
SITE_LOCATION
23197 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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ED <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AC�RICULXURALSpecial www.fgUnc.com <br /> Analytical Chcrnists Laboratory Copy (1 of 2) <br /> 1(111111111111111 E1111 111111111111111111 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 j <br /> Atm:Scott Sanglaang a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: C7 w a <br /> Contact Person: Scott Sangalang u <br /> Project Name: C7 W <br /> Purchase Order Number: ai w rx —• <br /> ui <br /> Quote Number: ST 20160309-01 h a ¢ `✓ <br /> oLa <br /> Sampler(s) c z A <br /> pNN`4 � �QQ = o <br /> Ca ¢M 0 x <br /> Sampling Fee: Pickup Fee: c c c 4� a.a <br /> Compositor Setup Date: I I Time: I a z p a Z O Z E <br /> Q c:. cz <br /> cc <br /> Lab Number: STK O 3-17919 o w a � U a a. a a a <br /> Samp Date Time •5a, =c c '�x a b <br /> Num Location Description Sam led Sam led �' <br /> P <br /> P P 2 t~ a° a4 czt O U C7 N i�. <br /> Olcl� G DW <br /> !!':•0.tc;=:���_.. `,Z�1�;�e: :..., : ;..�„�:.l.;s'::ec ;a;e: �ime: iRelinquished Date: Time: <br /> 5 05 ; i� x� ��� GAS l z/1 y 3 I/F <br /> j liC�:t_t'1� .r.•:_:L': :,lI:: ti'�C�I•:Ze �': <br /> • ` � " / :a:e• ';r.�. Rcceived By. Date: Time: r <br /> Z14 <br /> 16o5 _,_� <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)7349473 <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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