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WP0041637
Environmental Health - Public
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CHERRY GLEN
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21711
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4300 - Water Well Program
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WP0041637
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Entry Properties
Last modified
6/24/2022 8:48:26 AM
Creation date
6/16/2022 10:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041637
PE
4366
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHM OF CUSTODY <br /> i Special i 'www.fgUnc.com <br /> _rt0NHLNTAL ACiRKULTURAI. 4 <br /> Laboratory Copy 1 of 3) <br /> 35730:02/0612017 TEST DESCRIPTION - See Reverse side for Container. Preservative and mpiing information <br /> lien[: San Joa �in County EHD <br /> ddress: San JoaQAn Co. Environmental Health Dep <br /> Water QuIlity Division 3 i 4 5 <br /> Attn: Rodney Estrada rx <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> lone: (209)468-0331 Fax: °G <br /> a <br /> ontact Person: Rodney Estrada A Q <br /> -oject Name: <br /> c� <br /> irchase Order Number: U w ti <br /> tw <br /> uote Number: ST 20160309-01 N a ¢ <br /> impler(s) `aGG T U vwi v N AO i <br /> 00 � � •E� Q 0 $ � <br /> impling Fee: Pickup Fee: c a o f <br /> Q04 <br /> ompositor Setup Date:_/_/_ Time:_/_ E z O e z v 0 = A <br /> �n E rn o el— <br /> ca <br /> ab Number: STK 3-17919 `o a s v o d <br /> mp Date Time v =o 0 v <br /> turn Location Description Sampled Sampled u ' ° `" w�' ° n <br /> PF- a as W 0 U`-' C7 N I.L._: 1L iz <br /> G DW Z <br /> ;marks: Relinquished /fDate: Time: fished gate: Time: Relinquished Date: Time: <br /> tom►'' '''' "S=ii-zz -3: <br /> t/ -Jj <br /> By: ate: Time: Received By: f Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Offlce&Laboratory Office 8 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 ~1 Visalle,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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