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WP0043072
Environmental Health - Public
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1033
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4300 - Water Well Program
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WP0043072
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Entry Properties
Last modified
5/2/2022 1:32:04 PM
Creation date
5/2/2022 1:30:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043072
PE
4380
STREET_NUMBER
1033
Direction
E
STREET_NAME
WILLIAMSON
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
24104006
ENTERED_DATE
3/14/2022 12:00:00 AM
SITE_LOCATION
1033 E WILLIAMSON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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Tags
EHD - Public
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CHAIN OF CUSTODY <br />Remarks: <br />Relinquished Date: L► Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Special <br />Received By: Date: "Time: <br />Received By: Date: Time: <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />www.fgUnc.com <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Laboratory <br />Copy <br />G of <br />3) <br />!)a)i1. ll �. '0'1 <br />- <br />'i i.11 i)i,�l <br />llll'1 IU\ ;jt� It, <br />.�l�. +I�IC <br />-- <br />i��l l .�IlW <br />lil: �. j'[,:,,:l <br />-- <br />c .IIItf <br />J.1111i5i 11 L" <br />t11hH lil.tlnoIl <br />i11111 I III I Ui1111n 71i Ii i <br />iiiiI, " I'll, 11i - - <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Heallb&)ep <br />Water Quality Division <br />Attn: Michael Kith <br />3 <br />Qa. <br />1868 East Hazelton Ave. <br />h <br />v <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-3444 Fax: <br />C7 <br />[i1 <br />3r <br />w <br />Contact Person: Michael Kith <br />Project Name: W S,�-�tip1M� t.dt <br />Purchase Order Number: <br />Quote Number: <br />w <br />Q <br />z <br />�' <br />E <br />x O <br />a <br />o A <br />Sampler(s) <br />Q.QV�N C�.�O'0`�R-SAM <br />0 <br />° <br />V' <br />'' <br />Sampling Fee: Pickup Fee: <br />g <br />a <br />Compositor Setup Date: Time: / <br />o <br />z <br />O <br />a o w <br />_/_/_ <br />o <br />w <br />a <br />T> <br />Lab Number: 3-17919 <br />STK <br />o <br />s <br />° <br />u, <br />E- <br />Samp, <br />Location Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />>1 <br />0 <br />c10 <br />M O v') a <br />I <br />W U._. \A L(Y1 <br />�nMQ�^ <br />�\ •Q� <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished Date: L► Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />d By: Date: Time: <br />Received By: Date: "Time: <br />Received By: Date: Time: <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />
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