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WP0043716
Environmental Health - Public
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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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==== Special CHMPL OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> rAddress: <br /> IIIIIIIIIIIIIIIII35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> t: San Joaquin County EHD San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. 0 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-3452 Fax: C7 w 3 a <br /> �P oay3�l� A <br /> Contact Person: Scott Sangalang <br /> Project Name: <br /> 3 a <br /> Purchase Order Number. w <br /> Quote Number: ST 20160309-01 <br /> rSampling <br /> ler(s) Uoa a*w a � aFO" � <br /> x <br /> MAdam ')6w a, c a 0 <br /> Fee: Pickup Fee: 5 EAaw, <br /> c o N C, v.� w <br /> c o .Oz E <br /> Compositor Setup Date:_/_� Time:_/_ fl Z O c o z v Z :9A FH <br /> v� E o� U ax <br /> Lab Number: STK 3-17919 o r% c+. c c <br /> d o <br /> 0 <br /> Samp Location Description Date Time lu T o cd In o N <br /> Num Sampled Sampled F. a co as O U <br /> 1 1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> N601(' l;h�s t ►51 z� <br /> Received By: f' 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 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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