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WP0042823
EnvironmentalHealth
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JACK TONE
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4300 - Water Well Program
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WP0042823
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Entry Properties
Last modified
8/11/2022 2:35:32 PM
Creation date
6/16/2022 8:52:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042823
PE
4378
STREET_NUMBER
8398
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
09102004
ENTERED_DATE
12/9/2021 12:00:00 AM
SITE_LOCATION
8398 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.,gUne.eom <br /> Analytical Clicinis(5 Laboratory Copy' 1 of 3) <br /> 35731:08,112,2021 ,' ILN1 l)l_N( kill Il\ Soy kt:'s-1 ,10' I,i l olitain.i. J0:11l�luit iul%1iui.iu,III <br /> tient. San Joaq m County EHD <br /> Address: San Joagtl Co. Environmental Health Dep <br /> Water QuAity Division <br /> Attn:Michael Kith a E <br /> 1868 East,]Hazelton Ave. ti <br /> Stockton,CA 95205 3 a. r <br /> w a <br /> Phone: (209)468-3444 Fax: _ <br /> Contact Person: Michael Kith '�"" <br /> Project Name:'g�.C3 VV j a.r/1tr <br /> LA- <br /> Purchase Order Number: U w 3 c <br /> °LSI� ,.r' w 0 <br /> Quote Number: o r,; ``' ,. v <br /> Sampler(s) � t _ ��r a�( � o w z <br /> a <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E Q, z O a. w <br /> Lab Number: STK 37� 3-17919 o w w .. <br /> b o 9 F g0 <br /> ;amp Date Time moo. S <br /> Num Location Description Sampled Sampled O cn v <br /> G DW Sub-3 <br />—2e ish aI <br /> [me: a[nquis a ate: [me: <br /> b l l�� rl�O <br /> ceive By: D te: Time: Received By: G Date: Time: Received By: Date: Time: <br /> /155 [S'r-ef o <br /> Comorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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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