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WP0043597
EnvironmentalHealth
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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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FGL CHAIN OF CUSTODY <br /> FNVIRONMENTAI, AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists <br /> Laboratory Copy (1 of 3) <br /> + 35731:08/02/2021 TEST DESCRIPTION - See Reverse side tar Container, Preservative and Sampling informatio,, <br /> Client: San Joaquin County EHD > ' <br /> Add,,,- Sm T,,wwin C., Fm-lnnnm•nbd HoMth Den <br /> Water Quality Division 3 <br /> Atm:Michael Kith <br /> C <br /> 1868 East Hazelton Ave. � � - <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Pax': <br /> Contact Person: Michael Kith t••� _ (� <br /> Project Name: (�4/ ,/ �. W f revaro <br /> Purchase Order Number: gYl v 3 63 ii . <br /> W Q N a O <br /> Quote Number: <br /> Sampler(s) M r&had / (iF•—Z U *r v to O Q <br /> a ^ <br /> J <br /> G O 5 g <br /> Sampling Fee: Pickup Fee: E p' ;, 'yo— <br /> o <br /> Compositor Setup Date:_!_/_ Time: / E o, Z o w <br /> q q � <br /> Lab Number: STK oCrX.7�C 3-17919 <br /> ;amp Date Time �s $, 'u $ 0 <br /> Num Location Description Sampled Sampled FT- cn m O y a <br /> 1 W ],t/' µ Q�� G DW Sub-3 <br /> 3emarks: (tl. C `I�i Relinquis Date: Time: R shed D"u" <br /> a Time: Relinquished Date: Time: <br /> l 9/2Y ,94,C ��f a�a� 1-70 <br /> 'ved By: Date: Time: Received By: J Date: Time: Received By: Date: Time: <br /> f/���'Jaa l� flWloc a- <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 /> r�' 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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