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WP0044382
EnvironmentalHealth
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20896
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044382
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Entry Properties
Last modified
7/22/2024 9:27:45 AM
Creation date
6/27/2024 11:48:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044382
PE
4366
STREET_NUMBER
20896
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24512054
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
20896 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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_ -_ . - CarlCarlOF CUSTODY <br /> 11-FSpecial www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> I35730:11/01/2023 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 ,, <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-3452 Fax: <br /> N <br /> .. <br /> Contact Person: Scott Sangalang wH43�zYW <br /> Project Name: 2(X�t'i �lreo in <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> n. <br /> E w <br /> Sampler(s) c Z O A <br /> .. <br /> C oCC I.e Gtt U * to N O <br /> .JJ <br /> o <br /> � <br /> p c&0 QD W <br /> Sampling Fee: Pickup Fee: S <br /> Compositor Setup Date: 1 I Time: I z O a =z t°O u z a E <br /> 0. �oz Az <br /> Lab Number: STK ®® 3-17919 0 �. C* U a <br /> o a a, <br /> � I.., �� H II t t <br /> Samp Location Description Date Time c 0 R- c N C) v c. 3 <br /> Num Sampled Sampled H a. a4 O U-y C7 c� Uw=: ir, w <br /> 1 wet �,eu� 6�1f� 1G4 G DW � <br /> ' a.'l otl�d:- 1•ln..'t..i.. ��tF.,l.'...ry.t.�li.5n'1 Date: Z[?L:I0_ Dr�: C: M�. lii <br /> , <br /> !:?' Date: mime! i <br /> 'Borate Offices 8 Laboratory Office 8 Laborato_ry Office&Laboratory Office&Laborato Office&Laboratory_ <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Empresa Drive,Suite D 9411 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)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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