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WP0042457
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELSHOLZ
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17093
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4300 - Water Well Program
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WP0042457
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Entry Properties
Last modified
9/19/2022 4:16:05 PM
Creation date
8/11/2022 2:27:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042457
PE
4370
STREET_NUMBER
17093
Direction
E
STREET_NAME
ELSHOLZ
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20322004
ENTERED_DATE
8/20/2021 12:00:00 AM
SITE_LOCATION
17093 E ELSHOLZ RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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4 <br /> CHAiri of CUSTODY <br /> t Fs Special wwuw.fgUne.com <br /> L; 64atory Copy (1 of 3) <br /> '1 3573( 02/6 12017 TEST DESCRIPTION - See Reverse side for Contal'ler.'Preservative and Sampling information <br /> ;'tient: San Jonquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep .a <br /> Water Quality Division 3 ,� <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: U w x <br /> Contact Person: Rodney Estrada Q u <br /> Project Name: <br /> Purchase Order Number: W Q Q/Q kkQ"-kCa-'"1 U_ w 3 &n -' <br /> Quote Number: ST 20160309-01 y W Q a a <br /> u] <br /> a .. E o P <br /> Sampler(s) o vwi Z �, O oo A <br /> C) �c..�Y'�A,� �, x a o <br /> '� Ar QM �p <br /> Sampling Fee: Pickup Fee: p; p; a= <br /> N M <br /> Compositor Setup Date: 1 / Time: 1 a z p a "Z O Z z ca <br /> Lab Number: STK ?, 3-17919 0 &0 a M <br /> .d >. a,O A. a 0 <br /> ;amp Date Time �, o ❑o x <br /> Location Description w ,, a o N ,� ,�, v v <br /> Num Sampled Sample E., a oa as O v-- 0 N w_. i� w <br /> 1 /�� G DW 1 1,:1,1 <br /> temarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: DEZ- <br /> t : Time: Received By: Date: Time: Received By: Date: Time: <br /> -p 3ItZ11 a C 'L, <br /> C rwrate 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 2 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)7349473 <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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