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WP0038671
Environmental Health - Public
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JACK TONE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038671
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Entry Properties
Last modified
6/12/2019 4:25:21 PM
Creation date
1/23/2019 8:37:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038671
PE
4366
STREET_NUMBER
21025
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
228110010
ENTERED_DATE
8/16/2018 12:00:00 AM
SITE_LOCATION
21025 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CHAln OF CUSTODY <br /> r Special www.fgUnc.com <br /> a Analytical Chemists F*Id Copy (3 of 3) <br /> 35730:02/06/2617 TEST DESCRIPTION See Reverse side for Container,Presirvative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division .j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> c7 w 3r— <br /> Contact Person: Rodney Estrada <br /> Project Name: `,``�—��J��• <br /> J c7 a rn <br /> Purchase Order Number: <br /> Quote Number: Sl'20160309-01 <br /> Eo F <br /> Sampler(s) W z ti 00 A <br /> * <br /> a <br /> o O � O w <br /> Sampling Fee: Pickup Fee: c c a Lnt Q <br /> _N 'U E M b z y N <br /> Compositor Setup Date:_/—/ Time: / a z O °� z ;O <br /> N •• � � <br /> i p o z <br /> C4 S <br /> Lab Number: STK 3-17919 0a a R V ai x x x <br /> .o `" > "O �" i s F II a a <br /> Samp Date Time �s Q =o G o <br /> Num Location Description led Sam Sampled ' o <br /> P P E• a Co CO O U-� 0 c4 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: (7�re2 Received By: Date: Time: Received By: Date: Time: <br /> Cdryorate 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 /> Santd 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:1530)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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