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WP0045379
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045379
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Entry Properties
Last modified
8/5/2024 2:43:45 PM
Creation date
6/7/2024 9:27:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045379
PE
4378
STREET_NUMBER
12445
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00720023
ENTERED_DATE
3/25/2024 12:00:00 AM
SITE_LOCATION
12445 LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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-- Special Cxmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> Ilr I�IIII'III�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII'f�I�IIIIIIII 35731:04/03/2023 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 a <br /> j Attn:Scott Sanglaang 3 a I <br /> 1868 East Hazelton Ave. 3 I <br /> Stockton,CA 95205 =° <br /> n. <br /> Phone: (209)468-3452 Fax: <br /> ij w 3 <br /> Contact Person: Scott Sangalang _�� Q Q 2 a <br /> a a <br /> Project Name: <br /> Purchase Order Number: U w 3 a <br /> g w ¢ a <br /> Quote Number: x <br /> E <br /> Sampler(s) U vwi z T O <br /> Cn <br /> Sampling Fee: Pickup Fee: C ? o a <br /> o ^, o 04 ° U <br /> Compositor Setup Date:_/_/ Time: /_ E u z O <br /> E o (� <br /> Lab Number: STK 3-17919 o ii o. p <br /> T N <br /> Samp Location Description Date Time y o ,-a E <br /> a. <br /> Num Sampled Sampled >.: F a m w 0 w <br /> I G DW 3 <br /> IRcmarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 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)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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