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WP0043292
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4300 - Water Well Program
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WP0043292
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Entry Properties
Last modified
9/14/2022 9:39:36 AM
Creation date
8/1/2022 10:53:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043292
PE
4378
STREET_NUMBER
22516
Direction
S
STREET_NAME
ALICE
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
22614027
ENTERED_DATE
5/12/2022 12:00:00 AM
SITE_LOCATION
22516 S ALICE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMEN IAL - AURICULTURAL <br /> Special www.fgUnc.com <br /> L4boratory Copy (1 of 3) <br /> b D <br /> 357*02/06/2017 TEST DESCRIPTION - See Reverse side for Contaher,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada °�• <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> w a <br /> Contact Person: Rodney Estrada Q <br /> Project Name:�,LV_J`� Q��l <br /> Purchase Order Number: \-�����^(�'� U w —• <br /> Quote Number: ST 20160309-01 y a ¢ x a <br /> Sampler(s) h E W z <br /> Sampling Fee: Pickup Fee: c� a� c <br /> Compositor Setup Date: / / Time: Ec. z p a .'Z <br /> . Z Z E <br /> W E �En O1 C <br /> cc <br /> Lab Number: STK ' 3-17919 0 w a ^ U a a a. <br /> 440 �� H 0 <br /> Samp Date Time n, g `' 4.c x <br /> Location Description �, c o E E <br /> Q o <br /> Num Sampled Sampled E. a, Aq as O U- 0 N L.a' I.L. is. <br /> 1G DW 1 1,1,1 • <br /> Remarks: Relinquished Date: Time: Relinqu' a Date: Time: Relinquished Date: Time: <br /> 125 1C:V L� <br /> Received B Date: Time: Receiv By: Date: Tim • Received By: Date: Time: <br /> 7 � Z2 �Z � 2 zZi2 <br /> Corporate Offices 8 LaboratoryOffice A Laboratory Office 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)525-41721 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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