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WP0044601
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044601
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Entry Properties
Last modified
5/13/2024 7:50:13 AM
Creation date
5/2/2024 8:45:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044601
PE
4366
STREET_NUMBER
5774
Direction
E
STREET_NAME
CHEROKEE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08715035
ENTERED_DATE
6/2/2023 12:00:00 AM
SITE_LOCATION
5774 E CHEROKEE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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`E Special CHMn OF CUSTODY <br /> . _-- RA www.fgUnc.com <br /> ENVI --Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllll _ 3730:11/01/2023 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 3 a <br /> Attn:Scott Sanglaang x <br /> 1868 East Hazelton Ave. b <br /> Stockton,CA 95205 3 =° <br /> v <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q ¢ a <br /> w x <br /> Project Name: o <br /> Purchase Order Number: m ua <br /> Quote Number: ST 20160309-01 w <br /> ar�i H F <br /> Sampler(s) to vWi z T O O <br /> * 2 x N O <br /> O `o w <br /> a �. F <br /> Sampling Fee: Pickup Fee: _ ;, o� -a.cv xa <br /> a y y Z a v <br /> Compositor Setup Date:_/ / Time:—/ Z O c n o z c -65 E <br /> 0 <br /> Z LZ <br /> Lab Number: STK 3-17919 0 a a W U x H x x <br /> 0 0 H xO oa <br /> Samp kation Description Date Time v a o � o N v� =a = 2 <br /> Num Sampled Sampled F. a m w O U 0 ev u._: u. is <br /> 1 G DW <br /> t <br /> r I clin uisi:e� rale: Tirt_: ?neii-011is-,, Date: ime: Relinquished Date: Tire: E <br /> i�ecei. = ✓:;: Ti >tere.ived By: D_c — :ime: 'Received By: Date: Time: <br /> I <br /> ' <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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