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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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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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EHD - Public
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CHAIN OF CUSTODY <br /> Special `www.'gUnc.com <br /> Analytical Chernists Laboratory Copy 1-hof 3) <br /> 35730:02/06/2017 FEST DESCRIPTION - See Reverse side for Container,Preservative and mjling information <br /> Client: San Joa iin County EHD q <br /> Address: San Joaq n Co. Environmental Health Dep <br /> Water uIlit Division <br /> Q y a <br /> Attn:Rodney Estrada 3 AG <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: * .. <br /> Contact Person: Rodney Estrada ¢_ v <br /> Project Name: Zl7t+� ►"►� �lP�t C � C7 m o <br /> Purchase Order Number: U w w <br /> Quote Number: ST 20160309-01 a <br /> w a r <br /> Samplers) e�D U rw Cn a A <br /> N <br /> ou O O � Q O `O w <br /> Sampling Fee: Pickup Fee: c p;� <br /> Compositor Setup Date: l I Time: / , z p a y =z z z E <br /> c a. c u A H <br /> Lab Number: STK �i �Q 3-17919 0 N T <br /> c o H AAc_ — H 11 <br /> lamp Location Description Date Time 0 T c c c <br /> Num Sampled Sampled 2 Ey a w AA O U!:'. (7 <br /> I G DW 1 1,1,1 <br /> 2 z'-210 <br /> 2emarks: Relinquished Date: Time: fished ate: Time: Relinquished 1 Date: Time: <br /> ��►'` -i�-zz I3:ia �� Gam- t� �� J 'S 111' l�� ��`�� <br /> 7 d By: ate: Time: Received By: Time: Received By: Date: Time: <br /> ��� /3 0 ,ate:� /-70-0 `)> 1 1 <br /> Cortaorate 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 ^1 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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