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WP0039630
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039630
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Entry Properties
Last modified
11/26/2019 9:24:13 AM
Creation date
10/22/2019 2:37:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039630
PE
4378
STREET_NUMBER
23877
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22817036
ENTERED_DATE
5/21/2019 12:00:00 AM
SITE_LOCATION
23877 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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ecial CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 u: 3) <br /> �R!Ni�M ilill 11111111 35730:02/06/2017 TETT DESCRIPTION - See Reverse side for Container,Preservative and SamplW! information <br /> Client: San Joaquin Ci�cmty EHD <br /> Address: San Joaquin Co; Environmental Health Dep <br /> Water Quality Don 3 a.a <br /> Atm: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton..CA §5205 3 n <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada L Q <br /> � x <br /> Project Name: <br /> Purchase Order Number: G <br /> > a <br /> Quote Number: ST 20160309-01 <br /> x E o F- <br /> p, W C. V F• 00 <br /> Sampler(s) E w z T � Q <br /> U * a a O <br /> °o <br /> Sampling Fee: Pickup Fee: _5 a -C <br /> G ,,J N cd jd M -0 z U <br /> Compositor Setup Date:_/_/ Time: / n E c Z O " =z E <br /> o _ u Q E- <br /> Lab Number: STK 3-17919 0 V' a <br /> Samp Date Time s a =o c o y x b <br /> Location Description <br /> Sampled Sampled oNum v e-% O <br /> --- <br /> 1 G DW <br /> I <br /> Remarks: Relinquished Date: Mime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Datc: Time: Received By: Date: Time: Received By: Date: -rime: <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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