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WP0042302
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042302
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Entry Properties
Last modified
8/5/2022 3:16:43 PM
Creation date
3/10/2022 4:53:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042302
PE
4370
STREET_NUMBER
23925
Direction
S
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
22817011
ENTERED_DATE
7/19/2021 12:00:00 AM
SITE_LOCATION
23925 S HIGHLAND AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> FGL <br /> • Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> }1731:08/02/2021 TEST DESCRIPTION - See Reverse side for kontainer,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division w <br /> Atm:Michael Kith W; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith Q <br /> Project Name: <br /> Purchase Order Number: 3„p <br /> Quote Number: <br /> E <br /> Sampler(s) z A <br /> U * = Co <br /> 0 0 •fir <br /> Sampling Fee: Pickup Fee: 5 a <br /> c ; <br /> o <br /> ¢ <br /> Compositor Setup Date:_! a_/_ Time:_/ 5 —°1r, z O a w <br /> v� E o° <br /> Lab Number: STK 3-17919 0 E% w C26 M. M> <br /> 0 0 <br /> 3amp Date Time <br /> Num Location Description Sampled Sampled) " H a° m O v°i <br /> l G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished i Date: Tin-w: <br /> Received By: Date: Time: Received By: Date: Tillie: 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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