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WP0044382
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044382
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Entry Properties
Last modified
7/22/2024 9:27:45 AM
Creation date
6/27/2024 11:48:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044382
PE
4366
STREET_NUMBER
20896
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24512054
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
20896 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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MMMMwM <br /> Special CHMN OF CUSTODY <br /> - _ www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 2) <br /> !IIIIIIIIHIIIIIIIIINIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information L <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. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: <br /> G ij w 3 <br /> Contact Person: ScottSangalang <br /> Project Name: '16C-1�4 (,C.l f tr'GJ�GvlCA <br /> Purchase Order Number: �' 3 <br /> Quote Number: <br /> Sampler(s) oa <br /> U C V a <br /> r! S a '1 O <br /> Sampling Fee: Pickup Fee: v 0 p <br /> a y o 5 a U <br /> Compositor Setup Date:_/_! Time:_!_ E z O o °� <br /> M E o C] <br /> Lab Number: STK 3-17919 0 VA w c -0 r p <br /> Samp Date Time 1a Q 0 u E <br /> Num Location Description Sampled Sampled � H a0 co w O w <br /> 1 G DW 3 <br /> t I j I <br /> Tine: !T2eiirauished Date: Time: Relinquished Date: ime: <br /> I E <br /> R; --:.,.. . jRcecived By: Date: Time: (Received By: Date: Time:! <br /> Corporate Offices 8,Laboratory Office&Laboratory Office&Laboratory Office 8,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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