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WP0040077
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040077
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Entry Properties
Last modified
3/24/2020 1:18:06 PM
Creation date
10/22/2019 2:43:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040077
PE
4366
STREET_NUMBER
19405
Direction
E
STREET_NAME
ALLEN
City
RIPON
Zip
95366-
APN
24538047
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
19405 E ALLEN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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--_ CHAIN OF CUSTODY <br /> . —-- Special www.fgUnc.com <br /> ENVIAnalytical 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 a <br /> Atm:Rodney Estrada 3 as <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada <br /> Project Name: U <br /> Purchase Order Number: 3 w <br /> Quote Number: ST 20160309-01 0 ¢ E o F� <br /> a W P 0 <br /> Sampler(s) r ^ o z > O Q <br /> x <br /> Sampling Fee: Pickup Fee: c0. <br /> Compositor Setup Date: /_/ Time:_/ Q z O Q z Z�O Z E <br /> x Q H <br /> Lab Number: STK 3-17919 0 a U w^ x x <br /> E a a F II a <br /> Samp Date Time °'n '� °' o oo x b <br /> Location Description O N <br /> P P a Sam " ' o d O U iZ <br /> Num led Sampled " ^ " <br /> E~ w co C�c� <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: IDate: 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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