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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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aw <br /> ---= CHAiri OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fglinc.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 /> Atm:Rodney Estrada Y <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> a <br /> C7 W ou � <br /> Contact Person: Rodney Estrada A d 7 <br /> Project Name: C7 cn cc Ln <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 h _ <br /> Sampler(s) o z > O <br /> U * .2 a <br /> �r 4 P <br /> ai O <br /> Sampling Fee: Pickup Fee: <br /> c <br /> Compositor Setup Date: / /_ Time: /_ a z p a <br /> 8 ii q <br /> Lab Number: STK 3-17919 ii <br /> p 0 F" �� <br /> Samp Date Time sa a <br /> Num Location Description Sampled Sampled :0 a° =M p w <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 /> 6Y �24 2DX ! 'n L <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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