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WP0043716
Environmental Health - Public
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10513
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043716
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Entry Properties
Last modified
2/6/2025 11:51:01 AM
Creation date
1/30/2025 9:09:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043716
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
10513
Direction
S
STREET_NAME
PRIEST
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19329021
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
10513 S PRIEST RD FRENCH CAMP 95231-
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chcmisis Laboratory Copy (1 of 2) <br /> 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 /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> cs. <br /> Phone: (209)468-3452 Fax: w <br /> Contact Person: Scott Sangalang UJp 0043 6 8 ¢ 2 <br /> Project Name: 10513 ` -96Q.`b� <br /> Cc <br /> Purchase Order Number: a w C a w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) U y p a 1 Q <br /> Ald"a <br /> /` ,,,,,G .. <br /> Qo <br /> Sampling Fee: Pickup Fee: v c EsR ti _ <br /> c <br /> Compositor Setup Date: / / Time: / E Z p a: v Z z Z E <br /> w Ecc 0 n. -6 , c <br /> Cn <br /> A E-H <br /> Lab Number: STK �D 3-17919 5 <br /> v T O a c. <br /> ° a. <br /> Samp Location Description Date Time T c ,5 c o v o x <br /> Num Sampled Sampled 7_ E4 a m Mo U V N ° iJ. fi. <br /> 1 ` eaA IS12S ff.-q5' G DW 1 1,l <br /> Remarks: Relinquished Date: Time: hed Time: Relinquished Date: Time: <br /> PSS �1ir\a5 1`i5�2T ►1 33 llo-IL�p <br /> 176 13 Z� <br /> Rece' By. / D te: Time: Received By: 111f/;6Z� <br /> Time: Received By: Date: Time: <br /> � /10-a"r <br /> Corporate Offices&Laboratory Office&Laboratory = Office&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 93050 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> /l Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> F� Env Fax:(805)525-41721 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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