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WP0038420
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038420
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Entry Properties
Last modified
3/5/2021 1:08:28 PM
Creation date
9/27/2018 8:32:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038420
PE
4366
STREET_NUMBER
23811
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22817034
ENTERED_DATE
6/13/2018 12:00:00 AM
SITE_LOCATION
23811 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.COM <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 w <br /> Atm: Rodney Estrada y x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada `' Q <br /> Project Name: v°� <br /> Purchase Order Number: � �gn (� D\Cs � w w <br /> Quote Number: ST 20160309-01 a¢ "' a <br /> o W a V 000 Q <br /> Sampler(s) o z T W <br /> * o O •�� ¢O � W <br /> Sampling Fee: Pickup Fee: _ <br /> Compositor Setup Date: /_/ Time: / E E z O E N o? c 0 w Ca F- <br /> o n <br /> Lab Number: STK 3-17919 <br /> Samp Date Time yn b — o c E y x v <br /> Num Location Description Sam led Sampled '' ° cd t° `" o ' °' <br /> P P [- a co at O U— <br /> I G DW <br /> Remarks: Relinquished Date: "Time: Relinquished Date: Time: Relinquished Date: Time: <br /> �[ Received By: / Date: Time: Received By: Date: Time: Received By: Date: Time: <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 /> 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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