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WP0044053
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELSHOLZ
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16728
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044053
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Entry Properties
Last modified
5/29/2024 4:46:56 PM
Creation date
10/23/2023 10:53:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044053
PE
4378
STREET_NUMBER
16728
Direction
E
STREET_NAME
ELSHOLZ
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20322008
ENTERED_DATE
11/14/2022 12:00:00 AM
SITE_LOCATION
16728 E ELSHOLZ RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.rgUinc.com <br /> Laboratory Copy (1 of 2) <br /> Ili X11111 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 3 a <br /> Attn:Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3452 Fax: * � � <br /> a <br /> Contact Person: Scott Sangalang A <br /> Project Name: G�5 C7 w o cx <br /> C � � a <br /> Purchase Order Number: �i�y 1(-.4 � {x J�� � a a <br /> Quote Number: o a ¢ `� <br /> 06 LU <br /> E <br /> Samplers)/J _� ( e lc,_ o Z <br /> c O c rya e <br /> Sampling Fee: Pickup Fee: e ° a <br /> Q b „ c <br /> Compositor Setup Date:_/_/_ Time:_/_ E! p z p x a <br /> A <br /> Lab Number: STK 3-17919 0a_ 0. ^.p <br /> bo v F, W 0 7 <br /> amp Location Description Date Time T o cc is'$ Qa.o <br /> Num ` ` v _ Sampled Sampled F a to m O w v _ <br /> 1 �2 tj-lG G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> �,ern�l _ '��2�r�z� ►�t�� ��� ��� CSS z y iZss <br /> .l Rece N9 B : Date: Time: Received By: Date: Tim : Received By: Date: Time: <br /> Comorate 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)525-4172/Ag Fax:(805)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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