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WP0041304
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041304
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Entry Properties
Last modified
12/27/2021 1:51:32 PM
Creation date
12/10/2020 3:48:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041304
PE
4370
STREET_NUMBER
17710
Direction
E
STREET_NAME
CEDAR
STREET_TYPE
LN
City
RIPON
Zip
95366-
APN
24514006
ENTERED_DATE
10/5/2020 12:00:00 AM
SITE_LOCATION
17710 E CEDAR LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> MIL Special www.fgUnc.com <br /> --LiiviRONMENTAL AGRICULTURAL <br /> 7 Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:02/06/2017 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 <br /> Atm:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> o. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: �� Q.n C} <br /> W <br /> Quote Number: ST 20160309-01 <br /> ¢ x <br /> E <br /> Sampler(s) o w z <br /> U * r CG <br /> O <br /> Sampling Fee: Pickup Fee: c a <br /> G ao U <br /> Compositor Setup Date: / / Time: / E a z° p x Um <br /> n <br /> Lab Number: STK o 1J4CfJCf 3-17919 <br /> SampLocation Description Date Time � a. o r a E <br /> Num Sampled Sampled <br /> 0 Travel Blank7. 0 bl� ):,+L�e' G LBW <br /> I tve,[( t'e"� 10(V;,, 9 i J G DW 4 <br /> Remarks: Relinquished Dare: Time: fished ate: Time: Relinquished Date: Time: <br /> ' C3, <br /> By: Date: Time: Received By: Date: Time: Received By: �a/te: Ti e: <br /> 02 L" 0V <br /> /ow �16 A a I <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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