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WP0040573
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040573
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Entry Properties
Last modified
3/24/2020 1:19:32 PM
Creation date
3/24/2020 1:14:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040573
PE
4380
STREET_NUMBER
19405
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538047
ENTERED_DATE
2/27/2020 12:00:00 AM
SITE_LOCATION
19405 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 /> . - ` , Special www.fglinc.com <br /> ENVIAnalytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 /> Atm:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> C7 W <br /> Contact Person: Rodney Estrada Q Q ; aF <br /> Project Name: <br /> Purchase Order Number: <br /> w <br /> Quote Number: ST 20160309-01 <br /> a W P 000 Q <br /> Sampler(s) o vWi z <br /> U + x <br /> 0 W <br /> Sampling Fee: Pickup Fee: a <br /> C t N M N <br /> Compositor Setup Date: / /_ Time: /_ E Z0 p a .o Z -OZ w Q <br /> 0 <br /> x x x <br /> Lab Number: STK 3-17919 <br /> �^ <br /> Samp Date Time p V u =o of x <br /> Location Description Sampled Sampled 0UNum <br /> w u4 4 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> PY2 0,9 <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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