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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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M CHAIN OF CUSTODY <br /> ' ENVIRONMENTAL ---- AGRICULTURAL Special www.fgunc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII 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 <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 d <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 Q 3 <br /> Contact Person: Rodney Estrada R Q <br /> Project Name: wi, e voi <br /> Purchase Order Number: U w w <br /> Quote Number: ST 20160309-01 94 <br /> a w a F~ 00 E~ <br /> Sampler(s) o V) z T Oo - A <br /> U ?? v o: a O <br /> * x <br /> Sampling Fee: Pickup Fee: ❑ " ;, o b a o <br /> 0. y o $ P•''� cNa y cn .o z y ai <br /> Compositor Setup Date: / / Time: /_ E Z O c o Z c Oz w Cq <br /> Ca F- <br /> 0 <br /> Lab Number: STK 3-17919 o w iiaa a a ¢ <br /> b o ?? H V - _ �� F II <br /> Samp Location Description Date Time Q o o N c aA> <br /> Num Sampled Sampled :� F. a at M O U-- 0 c� u, _: u. w <br /> 1 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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