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WP0041971
Environmental Health - Public
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4300 - Water Well Program
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WP0041971
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Entry Properties
Last modified
6/7/2021 1:54:42 PM
Creation date
6/7/2021 1:37:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041971
PE
4380
STREET_NUMBER
19025
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538020
ENTERED_DATE
4/26/2021 12:00:00 AM
SITE_LOCATION
19025 E ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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- -= CHAIN OF CUSTODY <br /> Special www.,fgUnc.com <br /> AGRICULTURAL NVIWONMENTAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side fob 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C7 w C _ <br /> Contact Person: 0.( (� <br /> RodneyEstrada � A <br /> Project Name: <br /> Purchase Order Number: U w 3 a <br /> W ¢O0 tx <br /> Quote Number: ST 20160309-01 E <br /> Sampler(s) E w <br /> \Mm�en�� <br /> Sampling Fee: Pickup Fee: .S <br /> L � <br /> � 0. <br /> Compositor Setup Date: / /_ Time: / n z p a VW <br /> I_ <br /> a1 i 3��02 -- 0 <br /> Lab Number: STK 3-17919 a �' p <br /> 0 0 "' l~ a� o> <br /> Samp Date Time -n a d Q <br /> Num Location Description Sampled Sampled a ra M O w v <br /> 0 Travel Blank �� �: G LBW Xj- <br /> 1 G DW J <br /> VAL.Remarks: Relinquished Date(II 21 Time: Re' fished <br /> �� I � Time: lmqui d Date: <br /> DO <br /> /�ate: 'X�r 0 <br /> R ' d By: Date: Time: Received By: ` Date: Tim , Date: Time: <br /> SX,12" <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Labo Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empres e,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)7348435 <br />
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