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WP0040029
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040029
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Entry Properties
Last modified
12/19/2019 1:42:23 PM
Creation date
12/19/2019 1:25:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040029
PE
4380
STREET_NUMBER
19750
Direction
S
STREET_NAME
NORTH RIPON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24515034
ENTERED_DATE
8/30/2019 12:00:00 AM
SITE_LOCATION
19750 S NORTH RIPON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHmri OF CUSTODY <br /> -AGRICULTURAL Special www.fgUnc.com <br /> /)' Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 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 :a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> v <br /> Phone: (209)468-0331 Fax: <br /> co y <br /> Contact Person: Rodney Estrada Q ¢ B <br /> a L c tx <br /> Project Name:Hg50 til• <br /> Purchase Order Number: „ CL� <br /> Quote Number: ST 20160309-01 ¢ `" <br /> o W p^ E <br /> Sampler(s) o z T O <br /> 0 <br /> U <br /> r1 -JA�tet n <br /> q * N a T <br /> 5 Ei c <br /> Sampling Fee: Pickup Fee: <br /> 47- a v fU-0 <br /> Compositor Setup Date:_/_ / Time: /_ E a z O o <br /> Lab Number: STK <br /> 3-17919 0 a ct ? p <br /> �o <br /> Samp Date Time os pv ¢ <br /> Num Location Description Sampled Sampled z FT- a° w' Cd O ni <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <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 /> 1 I I 1 'Z,M_ <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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