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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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-- = <br /> Special CHAIN OF CUSTODY <br /> • . P www.fgUnc.com <br /> Ii I ! f fi1 t1 Customer Copy (2 of 2) <br /> 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EIID <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a I <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> au <br /> Phone: (209)468-3452 Fax: x <br /> ij w 3 N <br /> Contact Person: Scott Sangalang y �6 J Q ¢ a <br /> .,�✓r?(0� 3 � w � o x <br /> Project Name: <br /> Clu <br /> Purchase Order-Number: U w a <br /> Quote Number: L1S2 - a <br /> E <br /> Sampler(s) E w z <br /> ° V7 T <br /> ULA * a a > <br /> Sampling Fee: Pickup Fee: 5 ° 5— <br /> •� 'c aJ ° ca Ll. <br /> Compositor Setup Date: / / Time: / E a z O <br /> o� Ca <br /> Lab Number: STK 3-17919 0 5 <br /> " a ^ p <br /> o ° F" a C. <br /> Samp Date Time Q, - �5 v ¢ E <br /> Num kation Description Sampled Sampled >! ET- a m co O w <br /> 1 G DW 3 <br /> !F.elinarsisheo Date: Tine: Relinquished Date: Time: Relinquished Date: Time: <br /> j t <br /> T;,=: iReceiv_d By: Date: 'rime: Received By: Date: 'rime: <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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