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WP0039949
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4300 - Water Well Program
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WP0039949
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Last modified
6/7/2021 1:56:11 PM
Creation date
6/7/2021 1:32:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0039949
PE
4370
STREET_NUMBER
19465
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24538049
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
19465 S CARROLTON AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemistsy Laboratory Copy (1 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Revetfse 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 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q <br /> Project Name: 1� /7: �ff�1 r r ; r', Cq V <br /> Purchase Order Number: ( I �{ U w j n <br /> Quote Number: ST 20160309-01� "��V� a Cn a <br /> E <br /> Sampler(s) w z Z! <br /> y_ V a� <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E <br /> E o Ca <br /> Lab Number: STK 3-17919 0 w ii 8D. p <br /> Samp Date Time a Q <br /> Num Location Description Sampled Sampled ET w ai ra O w a <br /> 0 Travel <br /> Blank 3 , La I,` 1�, � G LBW A <br /> 1 vJ �L � ��'• 2 t1 �� ' '� G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquish D e: Time: Miquied Date: line:3 ZI <br /> Received By: Date: Time: Received By: ate: Tieceiyed Date: Time: <br /> 3 a� ,4 I � 3M 2f �� X31 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laborato 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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