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WP0040573
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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 /> FUL <br /> ENVIRONMENTAL---- AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 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 <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada ¢ E <br /> v 7 py <br /> Project Name: vwi cn <br /> Purchase Order Number: v w N <br /> W ¢ w' <br /> Quote Number: ST 20160309-01 _ <br /> n W a E <br /> Sampler(s) o 2 > O <br /> U * = � a <br /> o O <br /> c a c <br /> Sampling Fee: Pickup Fee: E c a <br /> Compositor Setup Date: / / Time: / E z p a: o <br /> Lab Number: STK 3-17919 0 w Z a y v 0 <br /> Samp Date Time v <br /> Num Location Description Sampled Sampled a° M mc'O 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 /> 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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