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WP0042166
Environmental Health - Public
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4300 - Water Well Program
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WP0042166
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Entry Properties
Last modified
6/30/2022 4:28:24 PM
Creation date
6/30/2022 4:26:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042166
PE
4370
STREET_NUMBER
16940
Direction
E
STREET_NAME
DAVIS
STREET_TYPE
AVE
City
LINDEN
Zip
95236-
APN
09114009
ENTERED_DATE
6/18/2021 12:00:00 AM
SITE_LOCATION
16940 E DAVIS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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Special CHAIN OF CUSTODY <br />P www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />111'I IL:I LIil,li�,Il,,l,l„, IIII L ,I, ji <br />35731:08i02,2021t <br />ENVIRONMENTAL <br />AGRICULTURAL <br />Analytical Chemists <br />Special CHAIN OF CUSTODY <br />P www.fgUnc.com <br />Laboratory Copy (1 of 3) <br />111'I IL:I LIil,li�,Il,,l,l„, IIII L ,I, ji <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 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 />35731:08i02,2021t <br />1LS'I DLSCR1PII SqC Re�erJe JIdC t it Cuntautcr. PrcJci ,Yu e and Satnpliug utlunnauuu <br />Client: San Joaquin Cotmh EHD <br />Address San Joaquin Co. Environmental Health Dep <br />15 <br />Water Quality Division <br />.? <br />Attn: Michael Kith <br />x <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-3444 Fax: <br />w <br />3 <br />L <br />Contact Person: Michael Kith <br />Q <br />¢ <br />2 <br />_ <br />Project Name: 16 l� t!U ut S � L ` <br />3 <br />LLA <br />x <br />Purchase Order Number: <br />a <br />O <br />Quote Number: <br />E <br />w <br />z <br />y <br />4 <br />Sampler(s) <br />,fhW� liltTprt Y <br />U <br />* <br />D <br />a <br />aSampling <br />a <br />Fee: Pickup Fee: <br />Compositor Setup Date: /_/ Time: / <br />E <br />vt <br />K <br />Z <br />O <br />^' <br />w <br />Lab Number: STK 3-17919 <br />0 <br />ii <br />i <br />-j <br />V 0 <br />�r <br />lamp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />-S <br />a <br />w <br />'� <br />m O <br />vt <br />FT <br />a° <br />1 <br />VA� <br />(` i <br />G <br />DW <br />Sub -3 <br />Gc C U LG' <br />Remarks: <br />Relin ui hed Date: Time: <br />t fishedate: Time: <br />�� <br />Relinquished Date: Time: <br />,qvo <br />d By: D te: Time: <br />7Zo�,z <br />Received By: q %ate: Time: <br />l <br />Received By: Date: Time: <br />6 <br />7 <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 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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