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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
Tags
EHD - Public
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of ' CIIAIlY OF CUSTODY <br /> � •. Special www.fglinc.com <br /> 9Analytical ChemistsLaboratory Copy (1 of 3) <br /> ; <br /> 35731:b2/06/2017TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> s; <br /> Address: San Joaquin Co. Environmental Health Dep : <br /> Water Quality Division a <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. N <br /> Stockton,CA 95205 3 <br /> o. <br /> Phone: (209)468-0331 Fax: w 3 C4 <br /> Contact Person: Rodney Estrada G? <br /> Project Name: o x <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) r 0 <br /> E w a v <br /> z <br /> c E <br /> p <br /> Sampling Fee: Pickup Fee: c o° <br /> Compositor Setup Date: / / Time: <br /> z <br /> Lab Number: STK 3-179190 " N Ca Q <br /> Num Location Description Date Time n ¢ E <br /> Sampled SampledF n° m O LCL.U o <br /> 0 Trave1l`Blank y�Lty�� �'Q v G LBW (y <br /> 1 �" �IX\ 01 r G DW 4 <br /> Remarks: Relinquished Date: Time: eltn fished /'D/ate: Time: inqu' hed Date: Time: <br /> Li �IV V J/ <br /> Received By: D te: Time: Received By: Date: Time: ece"' ate: ime: <br /> Corporate Offices&Laboratory Office&Laboratoly Office&Laboratory Office&Laborato <br /> 853 Corporation Street ry Office&Laboratory <br /> p 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, wte D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> q Phone:(805)392-2000 Phone:(209)942-0182�/QPhone: (530)343-5818 Phone:(805)783-2940 Phnnc- /rrC1%7QA OA70 <br /> 1' Gni C:1—C:1— 11G\C.7G n�7�] n_ r.,... innr�nn.,........ � ,,.,, <br />
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