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WP0039949
EnvironmentalHealth
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CARROLTON
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19465
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039949
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Entry Properties
Last modified
12/27/2021 1:31:45 PM
Creation date
4/14/2021 10:18:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039949
PE
4370
STREET_NUMBER
19465
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24538049
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
19465 S CARROLTON AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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S ectal CHM OF CUSTODY <br /> [NVIRO-INMENTAL AGRICULTURAL <br /> P www.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> 35730:02'$6/2017 TEST DESCRIPTION - See Reverse side for Container�Preservative and Sampling information <br /> �Oient:. San Joaquin County EHD i'Address: San San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3a <br /> Atm:Rodney Estrada a <br /> 1868 East Hazelton Ave. t <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: r4 <br /> tz <br /> Contact Person: Rodney Estrada I l_ J! O 7 <br /> Project Name: � C({ fp `ivr <br /> Purchase Order Number: \ w � <br /> Q- 1Ph CiA, �� � Cc p <br /> Quote Number: ST 20160309-01 N a <br /> C. <br /> E <br /> Sampler(s) (� E Cn w :z> A <br /> (_ J[�' U v v'i (Z>O <br /> �U�ICi/'ClC�C t,000 ��1f o <br /> aM x <br /> Sampling Fee: Pickup Fee: S <br /> a o g 0.o'.: C m a <br /> Compositor Setup Date:_/_/_ Time:_/_ Eo z O z O v o E <br /> r v� o 5 x u A F- <br /> Lab Number: STK 3-17919 `o a. r y a = a o <br /> 0 <br /> amp Date Time E kation Description i Efl 0 x <br /> A! u <br /> Num Sampled SampledaC4 O UN <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished— ate: Time: R it u• ed Date: Time: <br /> P <br /> Received By: Date: Time: Recei ed By: ate: Time: Rec i e y: Date: ime: <br /> Corporate Offices&Laboratory Office&laboratory Office&Laboratory Office&L.aboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Empresa Driv , ulte 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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