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WP0045290
Environmental Health - Public
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SANTA CRUZ
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045290
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Entry Properties
Last modified
12/23/2024 1:21:10 PM
Creation date
5/16/2024 11:04:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045290
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
450
Direction
N
STREET_NAME
SANTA CRUZ
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
09303076
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
450 N SANTA CRUZ CT LINDEN 95236-
Tags
EHD - Public
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49W k <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> (� 35730:1110112023 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 e° <br /> a <br /> Phone: (209)468-3452 Fax: <br /> a <br /> Contact Person: Scott Sangalang ,A <br /> Project Name: Lk�� �� �"`� c7 co 3 & Cc <br /> _• <br /> Purchase Order Number: a ki <br /> Quote Number: ST 20160309-01 N a Q <br /> Sampler(s) U N .. N a Q <br /> Sampling Fee: Pickup Fee: E- <br /> u c.=) <br /> Compositor Setup Date: ! I Time: I a Z° p CU =Z O Z E <br /> c �Z <br /> Lab Number: STK 3-17919 0 % a ccr. V <br /> 'ti a H a O a <br /> o o�, i = E E bx :9 -o <br /> Samp Location Description <br /> jate Time c E o N o as p, <br /> Num mpled Sampled E., a aI c o O U.� 0 � w-:IV�tr `� G DW 1 1,1 13 <br /> Remarks: Relinqu \�ma - r� Time: ReliniTime: Relinquished Date: Time: <br /> W6 16)5s <br /> a6tz%� V/2-y <br /> Received Date: Time:. Receiv Da Time: Received By: Date: T' e: <br /> W 3/1i/ 4 11 - 1 ;k $ 1� 1-10MAC_ / <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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