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WP0042882
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042882
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Entry Properties
Last modified
6/24/2024 3:06:59 PM
Creation date
5/28/2024 4:00:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042882
PE
4366
STREET_NUMBER
7650
Direction
S
STREET_NAME
BORBA
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
16207005
ENTERED_DATE
1/6/2022 12:00:00 AM
SITE_LOCATION
7650 S BORBA RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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CHAIN OF-CUSTODY <br /> ENVIRONMENTAC�2� AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> ��U ( 35731:01/01/2024 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sa slang <br /> Project Name: At�" ` � O C6 Cd voi <br /> Purchase Order Number: cIS 7.06 a) > : G a <br /> Quote Number: "}fOO42 33P, a a_ <br /> Ew °" <br /> Samplers) o >� O <br /> LZ = <br /> o rA o <br /> Sampling Fee: Pickup Fee: .S a' c!L- a <br /> Compositor Setup Date: / / Time: / N Z O a <br /> Lab Number: STK �� 3-17919 o w aCLs.. 4 O <br /> 1:4 0 <br /> Samp Date Time s <br /> Num Location Description Sampled Sampled F, n°, M 00 p w o <br /> �4A 51[6 SWL G DW 4 <br /> Remarks: Relinquished nate: Time: Shed Date: Time: Relinquished Date: Time: <br /> 5/461r, �� %�� 17� C-L� Z/ /z�3 <br /> s 7 <br /> R By: Date: Time: Received By: ate: Time: Received By: Date: Ti e: <br /> -- /'M-q 09 , ��/4Va� 1-7,0 �c / <br /> Comorate boratory Office 8 Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 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)7349473 <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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