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WP0040603 (2)
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040603 (2)
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Entry Properties
Last modified
6/7/2021 11:24:30 AM
Creation date
6/7/2021 11:12:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0040603
PE
4366
STREET_NUMBER
18985
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538035
ENTERED_DATE
3/5/2020 12:00:00 AM
SITE_LOCATION
18985 ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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- -= Clmrn OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy f3 of 3) <br /> . I <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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> U Q A <br /> Contact Person: Rodney Estrada d 0. <br /> U Cn o a <br /> Project Name: C„ <br /> Purchase Order Number: W d a <br /> Quote Number: ST 20160309-01 N <br /> E o E- <br /> a W a, `v, <br /> Sampler(s) o z Q <br /> * x <br /> ca QM � w <br /> Sampling Fee: Pickup Fee: <br /> c <br /> °O bZ E <br /> Compositor Setup Date: / / Time: b y - 4 <br /> cn E Nva o � cz y r <br /> Lab Number: STK 3-17919 0 a n 1 U x <br /> b o ti E✓ a � � a <br /> Samp Date Time fl , L - c E D x <br /> Num Location Description Sampled <br /> Sam <br /> 1 1 <br /> 1 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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