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WP0044064
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044064
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Entry Properties
Last modified
6/11/2024 11:14:31 AM
Creation date
5/2/2023 2:29:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044064
PE
4378
STREET_NUMBER
15219
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24518026
ENTERED_DATE
11/16/2022 12:00:00 AM
SITE_LOCATION
15219 E RIVER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHMN OF CUSTODY <br /> t <br /> ENVIRONMENTAL AGRICULTURALSpecial www.fgUnc.com <br /> Analytical clicillists Laboratory Copy (1 of 2) <br /> 35731:01/01/2024 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> o. <br /> Phone: (209)468-3452 Fax: a <br /> Contact Person: Scott Sangalang r A <br /> Project Name: 1 trot O v0i <br /> �SZI9�.Rt� Cc <br /> �a c� 3 <br /> Purchase Order Number: �. C a <br /> Quote NumberA?00q40(o4 CI53 Vv y arn <br /> E <br /> Samplers) 1)eV1G• c rn <br /> a. Oa <br /> 00 o O �� O <br /> Sampling Fee: Pickup Fee: 5 c� p. <br /> Compositor Setup Date: I I Time: / z p a A <br /> � <br /> F ��0�`T dE °vci a <br /> w <br /> Lab Number: $T 3-17919 a 0 O <br /> 0 o F a w t� <br /> Samp Location Description Date Time o CU Cd a c <br /> Num Sampled Sampled E.. a co as O w v <br /> 1 IiLC V1eGt CA S1 Li JW6 G DW 4 <br /> Remarks: Relinquished Date: Time: R uished ))tj 1% yDate- Time: Relinquished Date: Time: <br /> l� 5 �5 2 1235 <br /> R y: Da . Time: Received By: Date: Time: Received By: Date: Time: <br /> qq 1-706 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lando 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)7349473 <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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