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WP0039214
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039214
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Entry Properties
Last modified
2/25/2020 10:50:24 AM
Creation date
9/24/2019 10:10:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039214
PE
4366
STREET_NUMBER
11263
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
245070880
ENTERED_DATE
1/18/2019 12:00:00 AM
SITE_LOCATION
11263 E ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special WWW.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See; everse side for Container.Preservative and Samplings information <br /> (Tient: San Joaquin County EHD <br /> Addre,,: San Joaquin Co. Environmental Health Dep' <br /> Water Quality Division 3 <br /> Attn:Rodney Estrada as <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205ce <br /> 3 <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> Contact Person: Rodney Estrada O ¢ aF <br /> Project Name: <br /> Purchase Order Number: U w 3 <br /> W Q a <br /> Quote Number: ST 20160309-01 N _ <br /> F- <br /> ¢ W CE. " F" 00 <br /> Sampler(s) E w y a <br /> x O <br /> i5 O ¢O x <br /> C a j .... L1. rte+Fw" <br /> Sampling Fee: Pickup Fee: „ o� N�„ <br /> c aJ °�' M p az E <br /> Compositor Setup Date: /_/ Time: / E a z O a =z „ <br /> Lab Number: STK 3-17919 CL <br /> F o4 2 f E F- II <br /> Samp Date Time � a = f c o 2 x <br /> Num Location Description Sam led Sam led ' o ° 6 oN v" a <br /> p P <br /> I G DW <br /> Remark.: Relinquished D)Itc: lime: Relinquished Date: Time: Relinquished Date: Time,. <br /> Received Bv: Dale: 'I ime: Received By: Date: Time: Received By: Date: Time: <br /> I <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 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)734-8435 <br />
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