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WP0042495
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4300 - Water Well Program
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WP0042495
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Entry Properties
Last modified
6/24/2022 8:53:30 AM
Creation date
6/15/2022 4:40:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042495
PE
4370
STREET_NUMBER
14557
Direction
E
STREET_NAME
LEROY
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24503006
ENTERED_DATE
8/30/2021 12:00:00 AM
SITE_LOCATION
14557 E LEROY AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> . - - p www.fgunc.com <br /> ENVIACIMCULTURAL <br /> I .{ <br /> Analytical Laboratory Copy (1 of 3) <br /> IIIIIIIIIi1II1III111IIIiIIIIIIII1�I�IIIIIIIIIIiIIIIIIIIIIII 35731:08/02/2021 TEST DESCRIPTION - See Reverst'sick for Container. Preservative and Sampling information ¢i <br /> - r t <br /> tient San Joaquin County EHD <br /> a <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division ` <br /> Attn: Michael Kith 5 <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith ro Ca <br /> Project Name: <br /> Purchase Order Number: a ; <br /> Quote Number: <br /> E <br /> Sampler(s) U vwi Z O p <br /> * <br /> Sampling Fee: Pickup Fee: Son <br /> Compositor Setup Date: / ! Time: E a Z p a w <br /> Lab Number: STK 3-17919 0 v) ii u= j <br /> b o y F a"'O DC7 <br /> ;amp Date Time 5 y — L 0— <br /> Num Location Description Sampled Sampled ai. m coO � '* <br /> 1 � )._ �,�� G DW Sub-3 <br /> 2emarks: linqui, Date Time:Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Re ive y: D [e: Time: Received By: Date: Time: Received By: Date: Time: <br /> I! 1L I�0 �t�� 5 Zc <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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