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WP0040024
EnvironmentalHealth
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ALLEN
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040024
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Entry Properties
Last modified
10/1/2019 1:19:13 PM
Creation date
10/1/2019 11:41:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040024
PE
4380
STREET_NUMBER
19155
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538039
ENTERED_DATE
8/28/2019 12:00:00 AM
SITE_LOCATION
19155 E ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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GRAIN OF CUSTODY <br /> FGL <br /> . , Special www.fgUnc.com <br /> Analytical Chemists Custofner�--opy (2 of 3) <br /> 35730:02/06/2'017 TF,ST DESCRIPTION - See Reverse side for Container. Pre ervai�'ve and Sampling information <br /> Client: A:-:an Joaquin County EHD <br /> Address: ban Joaquin Co. Environmental Health Dep <br /> ;,"Vater Quality Division <br /> 4Attn:Rodney Estrada 3 ce <br /> !868 East Hazelton Ave. ` <br /> Stockton.CA 95205 <br /> _ 'lJ <br /> Phone: (209)468-0331 Fax: > ce x <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: U w 3 v w <br /> Quote Number: ST 20160309-01 a <br /> c E F o F= <br /> Sampler(s) o i Oa Q <br /> U v ° O <br /> a n we x� <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E Z O °' Z y Oma—,z E <br /> R y <br /> C; z <br /> Lab Number: STK 3-17919 0 a <br /> Sam Date Time <br /> P Location Description v <br /> Num Sampled Sampled 2 <br /> l G DW <br /> Remarks: Relinquished Date: Time: Relinquished Datc: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received Bv: Dh[ Tin c: <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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