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WP0042284
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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15401
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042284
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Entry Properties
Last modified
11/19/2024 4:01:50 PM
Creation date
3/10/2022 4:53:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042284
PE
4370
STREET_NUMBER
15401
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366-
APN
20308018
ENTERED_DATE
7/14/2021 12:00:00 AM
SITE_LOCATION
15401 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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FGL Special Ci�rl OF CSTODY <br /> ENVIRONMENTAL <br /> www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IlialIIIIII�IIiiIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client. San.Ioaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> 'L <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-3452 Fax: a <br /> � w 3 <br /> Contact Person: Scott Sangalang LA2Z,�L� 2 O <br /> Project Name: , r r 1, 1 ZG i xh I c7 a 3 Cn ca <br /> Purchase Order'Number: ciC-J66 > w <br /> Quote Number: ST 20160309-01 J a a <br /> EcL F- <br /> Sampler(s) E Z iiT <br /> w _ Ca <br /> * v a a O <br /> Sampling Fee: Pickup Fee: S <br /> c a a <br /> Compositor Setup Date:_/_/_ Time:_/_ E a Z p n z O ,�—,Z b E <br /> E o� o gz ii Q t <br /> Lab Number: STK 3-17919 0 cn a0.. <br /> F <br /> v v a <br /> vw oo a=oSamp Date Time 0 a c .0 = E <br /> Location Description <br /> aII <br /> " ° <br /> Num Sampled Sampled H 0 v <br /> 0cv <br /> I G DW I 1,1 <br /> I <br /> ui!1! 'i :c =i„e: �2_linquisi_ed Date: Fite Relinquished Date: Time: <br /> IR2ce ew v flair.. Time: i:ieC,_;V-By: Date: Tinic. ;Received By: Date: Time: <br /> 00 I I <br /> s i I <br /> Coroorate Offices&Laboratory Office&LaWoratoryOffice&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9411 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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