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WP0040024
EnvironmentalHealth
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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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ME Crlmri OF CUSTODY <br /> . . , Special www.fgUnc.com <br /> Analytical Chernists, Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Riverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep .r <br /> Water Quality Division 4 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> 2 <br /> Phone: (209)468-0331 Fax: <br /> tj w 5 <br /> Contact Person: Rodney Estrada <br /> Project Name: mow, <br /> Purchase Order Number: ¢ W <br /> Quote Number: ST 20160309-01 <br /> Eo E- <br /> o. W G, <br /> Sampler(s) ; LLI z N y G oe <br /> Ca <br /> x- v rid a �+ <br /> <O W <br /> Sampling Fee: Pickup Fee: ❑ o a; a] <br /> Compositor Setup Date: / / Time: / E a z p = ° O z ° c <br /> Z v a <br /> o a c �z <br /> Lab Number: STK 3-17919 c _� ii <br /> a a� a <br /> Samp Location Description Date Time v a ro a v v <br /> Num Sampled Sampled <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: 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 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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