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WP0041103
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041103
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Entry Properties
Last modified
3/4/2021 1:35:52 PM
Creation date
3/4/2021 1:07:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041103
PE
4380
STREET_NUMBER
17767
Direction
E
STREET_NAME
GRETL
STREET_TYPE
CT
City
RIPON
Zip
95366-
APN
24506039
ENTERED_DATE
8/13/2020 12:00:00 AM
SITE_LOCATION
17767 E GRETL CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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On <br /> = Special Ci�rl OF CUSTODY <br /> P www.fglinc.com <br /> Analytical Chernists 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 a <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada @ A ¢ S <br /> Project Name: <br /> Purchase Order Number: ; a <br /> Quote Number: ST 20160309-01 N a ¢ <br /> ayEi F <br /> Sampler(s) U V) z T 00 <br /> * 2 'A <br /> o p c a c <br /> Sampling Fee: Pickup Fee: [ a 7� a0 <br /> CL p a U <br /> Compositor Setup Date: /_/ Time: / E o Z O o rn <br /> E ❑�, C? <br /> O <br /> Lab Number: STK 3-17919 0 iE n p <br /> T N <br /> O O � FK� �� <br /> Samp Location Description Date Time a o ' a E <br /> Num Sampled Sampled FT a W w 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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