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WP0042495
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042495
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Entry Properties
Last modified
10/5/2022 1:04:16 PM
Creation date
3/10/2022 4:54:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042495
PE
4370
STREET_NUMBER
14557
Direction
E
STREET_NAME
LEROY
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24503006
ENTERED_DATE
8/30/2021 12:00:00 AM
SITE_LOCATION
14557 E LEROY AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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-= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGMULTURAL <br /> Special < www.fgmc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> IIIIIIIIIIIII(IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiI 3730:02/06/2017 TEST DESCRIPTIO' Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Hearn <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada v ac <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 fl <br /> v <br /> Phone: (209)468-0331 Fax: LIJ <br /> * h x <br /> Contact Person: Rodney Estrada A <br /> Project Name: 111 c7 ro N �n <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 ° w a H <br /> Sampler(s) U &n <br /> N x <br /> 091. 't d o w <br /> Sampling Fee: Pickup Fee: c a o a;C'4 <br /> 5 <br /> C N <br /> Compositor Setup Date: / / Time: / E —°'R z O o = z .O z E <br /> -- -- ova oc_z <br /> Lab Number: STK 3-17919 o rn <br /> pp A <br /> iam Date Time s5 <br /> ° <br /> p Location Description , a o <br /> Num Sampled Sampled t, a m M O U c is_ LL <br /> 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 /> Comorate-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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