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WP0037275
Environmental Health - Public
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WEST RIPON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037275
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Entry Properties
Last modified
9/29/2018 11:47:23 PM
Creation date
9/26/2018 1:19:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037275
PE
4378
STREET_NUMBER
12927
Direction
E
STREET_NAME
WEST RIPON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22817008
ENTERED_DATE
9/6/2017 12:00:00 AM
SITE_LOCATION
12927 E WEST RIPON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CHMN OF CUSTODY <br /> Fas <br /> AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> t. t <br /> 35730:02/06/2017 t,. TEST DESCRIPTION - See Reverse side for Container,Preservw!%e and Sampling information <br /> Client: San Joaquin Counts EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. v y <br /> Stockton,CA 95205 3 <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> w 3 <br /> Contact Person: Rodney Estrada b ¢ a <br /> Project Name: ° x <br /> R <br /> Purchase Order Number: U w ¢ a <br /> Quote Number: ST 20160309-01 � N <br /> E o E- <br /> Sampler(s) E �4 a Q <br /> c o O ¢O LU <br /> Sampling Fee: Pickup Fee: c a = acv x F- <br /> c `v b v) n <br /> Compositor Setup Date: / Time: / a. z p v '—' ° O w z z B E <br /> o Z c z q E <br /> Lab Number: STK 3-17919 c a a U x N= x x <br /> Sam Date Time o o cv v v b a :2 v <br /> Num Location Descrip tion Sampled Sampled p m Gq p U o w x <br /> 1 G D`,'`' 1 i,l,l <br /> Remarks: Relinquished Datc: Time: Relinquished Dae: Time: Relinquished Datc: I imc: <br /> Received Bv: Date: Time: Received By: Date: Ting. Received By: Date: Time: <br /> *6oroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> $53 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 ehico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942=b182 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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