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WP0043780
Environmental Health - Public
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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
Tags
EHD - Public
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Special CxAirl OF CUSTODY <br /> U_3® P <br /> - . , www.fglinc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIiII{Iillillllllllllllllllllllllllllllillillllllllllill 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 <br /> Attn:Scott Sanglaang rx <br /> 1868 East Hazelton Ave. <br /> N U <br /> Stockton,CA 95205 3 Q <br /> a <br /> Phone: (209)468-3452 Fax: w 3 <br /> Contact Person: Scott Sangalang O ¢ <br /> Project Name: 2t,�q\–J \ v: <br /> Purchase Order Number: 3 a <br /> W ¢ <br /> Quote Number: o a <br /> o W Z v E. <br /> Sampler(s) p o vi z > O <br /> \ � U 2 fx <br /> o p E°^ ° <br /> Sampling Fee: Pickup Fee: S <br /> Compositor Setup Date:_/—/— Time:—!— E <br /> E Z O y <br /> cn co C? <br /> Lab Number: STK 3-17919 o w i% p <br /> Samp Date Time -5 <br /> Num Location Description Sampled SampledE= a m w O w� <br /> 1 G DW 3 <br /> JRtlinquished mate: Time: Relinquished Date: 'rime: Relinquished Date: Time: <br /> iRcaei ed BY: Date: Tim. Received By: 'Date: Time: Received By: Date: Time: <br /> i <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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