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WP0039764
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039764
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Entry Properties
Last modified
11/3/2021 1:32:28 PM
Creation date
8/18/2021 2:15:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039764
PE
4366
STREET_NUMBER
19113
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538037
ENTERED_DATE
6/26/2019 12:00:00 AM
SITE_LOCATION
19113 E ALLEN RD
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> MENTAL AGRICULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) s� <br /> i — - <br /> � ?;'3b:02'06 21117 TEST DESCRIP"1'IOV See Re\:rsc �idr 1' Cuntainrr Pre,�erNative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep a 4 <br /> Water Quality Division �? <br /> Atm:Rodney Estrada I 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: 4y x <br /> Contact Person: Rodney Estrada A d <br /> 0 <br /> Project Name: v°� , <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 0 <br /> Sampler(s) U r O a O <br /> �r x <br /> eu a p 5 ¢p e w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / o z p �' .2z "2 cO z <br /> --- -- i h o:. 9zE— <br /> Lab Number: STK 3-17919 0 U)ii a 0.. U oo x a a <br /> 2a H II <br /> Samp Date Time <br /> -5 ; '� ^� o c c x <br /> Location Description Sam " ° <br /> ' <br /> Num led Sampled `t °' <br /> P p � E• P P A O U <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: I"ime: <br /> Received By: Date: Gime: Received By: Date: Time: Received By: Date: 1"ime: <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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