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WP0040962
Environmental Health - Public
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4300 - Water Well Program
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WP0040962
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Entry Properties
Last modified
6/7/2021 1:58:28 PM
Creation date
6/7/2021 1:36:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040962
PE
4366
STREET_NUMBER
7125
Direction
E
STREET_NAME
SEDAN
STREET_TYPE
AVE
City
MANTECA
Zip
95337-
APN
22610018
ENTERED_DATE
7/10/2020 12:00:00 AM
SITE_LOCATION
7125 E SEDAN AVE
P_LOCATION
99
P_DISTRICT
005
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 /> Analytical Chemists Laboratory C.,,)py (1 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 <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> w 3 <br /> Contact Person: RodneyEstrada Q Q aF <br /> -7950 SeA�h A�e- �, w 2 <br /> Project Name: /�jy !,� ` <br /> Purchase Order Number: Mane V(t ( /�'` c0�, w Q <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) /� n n E w z h °O Q <br /> o O Q O D W <br /> Sampling Fee: Pickup Fee: N x F" <br /> o a <br /> Compositor Setup Date: / 1 Time: / E & z p x = O z E <br /> Ln E a oz Cz <br /> Lab Number: STK 3-17919 0 LA a <br /> Samp Date Time °' p = E °' E <br /> Location Description q Fa o „ v <br /> Num Sampled U <br /> Q) n u. <br /> 1 Y� IV I� G DW 1 1,1,1 13 �b ll 1� . <br /> Remarks: Relinquished Date: Time: R uished Date: Time: q is d ate: le: <br /> /706 <br /> ive y: Date: Time: Received By: Date: Time: ec iv y ate: Time <br /> ,. �/30%+0 3 l fps �l�/�jl l7�p G 1 <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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