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WP0040948
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040948
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Entry Properties
Last modified
12/27/2021 11:30:49 AM
Creation date
8/20/2020 10:52:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040948
PE
4366
STREET_NUMBER
16475
Direction
S
STREET_NAME
TIDE
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20310017
ENTERED_DATE
7/6/2020 12:00:00 AM
SITE_LOCATION
16475 S TIDE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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- — CHAiri OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Field Copy (3 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada r A : <br /> u 1 <br /> Project Name: `L_ 1�l _ C <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 w w F_ <br /> 00 <br /> Sampler(s) \- ,i U ` v�> a r. a <br /> aM ,g x <br /> O0 a `� a� xF <br /> Sampling Fee: Pickup Fee: .5 <br /> n d <br /> O <br /> °' .d Y N <br /> Compositor Setup Date:_/_/_ Time:_/_ —� z O a •o z ,,z <br /> Lab Number: STK 3-17919 0 02 ii a ca Uq Ca x y x x <br /> d 0 H a4O <br /> Samp Date Time 6 p ' =o = - <br /> bw <br /> wLocation Description °- °' n. <br /> Num Sampled Sampled MO u0i. <br /> I G DW <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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