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WP0042573
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042573
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Entry Properties
Last modified
8/5/2024 2:41:05 PM
Creation date
6/11/2024 8:23:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042573
PE
4366
STREET_NUMBER
6418
Direction
E
STREET_NAME
VINA
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08672011
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
6418 E VINA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHMN OF CUSTODY <br /> FIA G-ENVIRONMENTAL'�-' AGRICULTURAL <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 35731:04/0312023 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 /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. u <br /> cc <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: t7 w N <br /> Contact Person: Scott Sangalang <br /> Project Name: �� Q 15:S � ` '- W CU <br /> ,. 3 a <br /> Purchase Order Number: a <br /> v <br /> Quote Number: _ `n <br /> Sampler(s) i t „� U N <br /> Sampling Fee: Pickup Fee: "' c::::r aa. <br /> Compositor Setup Date: I I Time: E <br /> E Z Occ <br /> oV' AQ <br /> Lab Number: STKD�K� � 3-17919 0 �% � � v 0 �p <br /> o ca� <br /> Samp Date Time <br /> Num Location Description Sampled Sampled E: p0 pq pq p uaia v <br /> 1 ` G DW 3 <br /> lRelinquished Date• - ":'izne• Relinquish Dare: (^; ic: 'Relinquished Date: 'rinic: <br /> �z 7.1 <br /> Received By: Date: T i me: Received By: Date: Tin Received By: Date: <br /> Cornorate 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)7348435 <br />
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