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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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S ecial CHAIN OF CUSTODY <br /> P www.fgUnc.com <br /> Analytical Chemists <br /> 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 3 <br /> Attn:Rodney Estrada15 <br /> x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205lu <br /> 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> o � <br /> C7 W o <br /> Project Name: 'n <br /> Purchase Order Number: 3 <br /> Quote Number: ST 20160309-01 a <br /> 0 E <br /> °a <br /> Sampler(s) o vWi Z T O <br /> a <br /> � ya <br /> oL 0 'E O <br /> Sampling Fee: Pickup Fee: 5 � o a <br /> o °? o <br /> Compositor Setup Date: / / Time: / E G z O Q °� <br /> E a Ca <br /> Lab Number: STK 3-17919 0 <br /> Samp Date Time -5 E <br /> Num Location Description Sampled Sampled H a m rA 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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