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WP0045376
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045376
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Entry Properties
Last modified
9/30/2024 9:24:11 AM
Creation date
4/15/2024 11:11:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045376
PE
4370
STREET_NUMBER
6507
Direction
S
STREET_NAME
BARTOLOMEI
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18707022
ENTERED_DATE
3/22/2024 12:00:00 AM
SITE_LOCATION
6507 S BARTOLOMEI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgilnc.com <br /> Analytical Clicmisis <br /> Laboratory Copy (1 of 2) <br /> 11111IM111111 ME 11111H35730:11/01/2023 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 F J <br /> Attn:Scott Sanglaang .. a <br /> 1868 East Hazelton Ave. 3 0 <br /> Stockton,CA 95205 <br /> v <br /> Phone: (209)468-3452 Fax- <br /> .. <br /> Contact Person: Scott Sangalang W <br /> Project Name:6.50;r &uv+j'Gt* GA <br /> C w ca o <br /> 5alt,{�cv+ <br /> Purchase Order Number: ai � 3 W <br /> �52tS C <br /> Quote Number: ST 20160309-010. <br /> x <br /> .. E, <br /> Sampler(s) E y z T O A <br /> ^ 1p_ -� 0 <br /> a O <br /> 0 =_a ao w <br /> Sampling Fee: Pickup Fee: c A.� <br /> C <br /> Compositor Setup Date: I I Time: ! E c. z p a ; =z p v z <br /> f [jam cc c n c , z is. A EH <br /> �1 /:JAS CO) � U m <br /> Lab Number: $TK 3-17919 � w v � �O <br /> 0 o F rs: o R= H II <br /> Samp Date Time �sa =o c E x '� <br /> Location Description <br /> Num Sampled Sampled S o a, a ?: <br /> P P 2 E- a pa M O U- v N 4 iw is.y <br /> 1 V1I�(I V�eotc 1 $l� G DW 1 1,1 9.5 W tl �a <br /> Remarks: Relinquished Date: Time: f Date: Time: Relinquished Date: Time: <br /> Istict" kill <br /> /f Am 740 C'L,� <br /> Rec v By: ZZ <br /> Time: Received By: O ate: e: Received By: Date: Time: <br /> A �9iia O1, ;ter O <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)525-41721 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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