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WP0043597
EnvironmentalHealth
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22519
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4300 - Water Well Program
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WP0043597
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Entry Properties
Last modified
10/24/2022 2:34:16 PM
Creation date
9/30/2022 8:55:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043597
PE
4380
STREET_NUMBER
22519
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09303071
ENTERED_DATE
8/10/2022 12:00:00 AM
SITE_LOCATION
22519 E COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CtWN OF CUSTODY <br /> FAVIROMFNTALSpecial •Y wi�vw.fgUnc.com <br /> Analytical 01C.111isl.", s� ;S - Laboratory G(�p (1 of ) k <br /> �M" 35730:02105/2017 a; TEST DESCRIPTION - See Reverse side fk Container,Preservativ' nd Sampling information <br /> Client: Sa ;Joaquin CouiSty EHD <br /> lrlrlr.•cc• C•r1•r�rnrin f it=�ti•irriimt•n1•I tl,�•rllh•i1,•n .' � . <br /> r t• <br /> Wr Quality I)Iv'ision a I, •' <br /> A i;Rodney Estruda <br /> 18 1.-.East Hazelton Ave..` y <br /> St kions CA 95205 <br /> ' f <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada p. _ Ln <br /> Project Name: 2.lt���/ tr- COO <br /> Purchase Order Number: U > ¢ N a c. <br /> Quote Number: ST 20160309-01 <br /> Q �'f�L i a. W is. a.�i E" o0o H <br /> Sampler(s) ��l��yC, l /i 1�-fl�eil V � v a, 0 <br /> o O �� ¢MO `.o°. w <br /> Sampling Fee: Pickup Fee: e o N <br /> Compositor Setup Date: I I Time: I E a z p a = M v Z u <br /> c z E <br /> o <br /> Cd tn <br /> Lab Number: STK p� 3-17919 0 w a aw 0 a a rA ¢• o, <br /> c 0 F R:0 c� <br /> Samp Location Description Date Time T c o N a� c. 7;Num Sampled Sagmpled >_2E., w as M O U-� 0 c4 114-: 91411. <br /> 1 e HeA.-OL Z UfS G DW 1 1,1.1 i,�� �7 0,"s <br /> Remarks: Relin uishe Date: Time: wished Date: Time: Relinquished Date: Time: <br /> z � <br /> Rec ' Date: Time: Received By- Date: Time: 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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783- 912 Fax:(559)734-8435 <br />
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