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WP0043266
Environmental Health - Public
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21601
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043266
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Entry Properties
Last modified
8/19/2024 8:59:30 AM
Creation date
7/22/2024 4:20:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043266
PE
4370
STREET_NUMBER
21601
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10522007
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
21601 E COPPEROPOLIS RD
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 /> Special www.fgUnc.com <br /> Analytical clicillists Laboratory Copy (I of 2) <br /> 11111111111111111111111I II I 35730:11/01/2023 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 /> n Water Quality Division 3 a <br /> Attn:Scott Sanglaang ,y <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> ami <br /> Phone: (209)468-3452 Fax: <br /> v w 3 <br /> Contact Person: Scott Sangal ng (�,� ¢ w <br /> Project Name:2-��O` Y t M✓��� O Cn w � (; � <br /> Purchase Order Number: <br /> v w Q a W <br /> Quote Number: ST 20160309-01 x <br /> Sampler(s) U N 0 is. A <br /> = O <br /> o o 5a aM w <br /> .O <br /> Sampling Fee: Pickup Fee: 2 c &. c� <br /> Compositor Setup Date: / / Time: / E Z p a v =z 0 O z <br /> ,a c a o <br /> Z o �, <br /> cl <br /> Lab Number: STK ��3 �� 3-17919 a ,°'�, a <br /> 0 o Ey <br /> X0 <br /> Sam Date Time " o <br /> Num Location Description Sam Sampled °' o is c <br /> H a M M O u 0 v <br /> Sampled P P <br /> 1 G DW 1 1,1 <br /> C.^.;ark C: 171c, :'SY;:. Z ;it'a..': t i!'.:.: 1=w...:.� ..:it :�� !lSnn-: Ii��aS:y!lFShCd Date: "i MIC: <br /> 1-76 <br /> fir.. --- ,_..... •r.,-,. ':,, - <br /> I �a. �•. ✓}': ci`r: C. :._. �Ci:i. �•a... .ii..... `. -V:''d BY:71/oz <br /> Diltc: I'.Iit�: <br /> �__ _ ...__ ...__..-_...._....._...�-....._..-_.«.-._..__._ .._-.-_ ..J <br /> Co 'Office K Ua-Boratofy <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)5254172/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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