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WP0040602
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040602
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Entry Properties
Last modified
3/5/2021 1:02:36 PM
Creation date
5/14/2020 2:11:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040602
PE
4366
STREET_NUMBER
0
STREET_NAME
WAGNER
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24506039
ENTERED_DATE
3/5/2020 12:00:00 AM
SITE_LOCATION
0 WAGNER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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z=_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> 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 3 a <br /> Atm: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada O <br /> Project Name: V) c co <br /> Purchase Order Number: a <br /> W ¢ h W <br /> Quote Number: ST 20160309-01ce ° <br /> N E o F= <br /> Sampler(s) o w z O 00_ Q <br /> U * a a x <br /> W <br /> c a a x <br /> Sampling Fee: Pickup Fee: FF <br /> _ ;, o� � n.� <br /> C N M y <br /> Compositor Setup Date: / / Time: /— E a z O x y =Z ,�—,z E <br /> -- ° o ) o E <br /> z <br /> Lab Number: STK 3-17919 0 a a a a a R <br /> 0 o y H a o rw ?= H II <br /> Samp Date Time S '� - c vf :L2 <br /> Location Description m led O ° o . x_: <br /> u uNum Sampled Saa O vC7 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> o„" /. <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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