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WP0042949
Environmental Health - Public
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4300 - Water Well Program
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WP0042949
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Entry Properties
Last modified
10/5/2022 11:41:48 AM
Creation date
9/14/2022 9:10:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042949
PE
4366
STREET_NUMBER
20978
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24512019
ENTERED_DATE
2/2/2022 12:00:00 AM
SITE_LOCATION
20978 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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CHAIN OF CUSTODY <br /> N-pecial Otbw.&Unc.com <br /> ENVI ROM ENTAL 147�07W-"`AG RICU LTU RAI, <br /> Analytical 01cmists �� Laboratory Copy (1 qBq <br /> 35730:0210612017 TEST°DESCRIPTION - See Reverse side for Container, Preservative and Sam pl *i6formation <br /> Client: San Joaquin bunty EHD <br /> Address: San Joaquin C q Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney 1:krada .. a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada 9 ¢ 2 <br /> Project Name: �1� `� �..�N �Y" O a W <br /> Purchase Order Number: U w &n ^ <br /> co <br /> ¢ a a ua <br /> Quote Number: ST 20160309-01 N <br /> ° •. 8 o H <br /> 00 <br /> Sampler(s) A c z app, A <br /> ���� ��`���"✓V v� U � � � �a M p 'Ori", <br /> a ¢ c <br /> o O �O w <br /> Sampling Fee: Pickup Fee: <br /> M <br /> Compositor Setup Date: I I Time: I E Q, Z p a °:Z z z E <br /> w ^ � �� x LL.� o H <br /> Lab Number: STK �Z 1 ? 3-17919 4- a O a a <br /> ° o H oma- L� <br /> )amp Date Time -S ;, 4-c c <br /> Location Description " '' o cc Cd <br /> Num Sampled Sampled ° "'^ �'' <br /> P P H a. as Po"Os V-� O N i3.=. <br /> I G DW <br /> 2emarks: RelinquishedDate: Time: Relinqui a ate: Time: Relinquished Date: Time: <br /> Q&X3-"% ;y ' N <br /> Received By: ate: Time: Recz' d B Date: Time: Received By: Date: Time: <br /> qF141" 1 �6b <br /> f <br /> Cap— <br /> Comorate Offices&Laboratory Office&Laboratory_ Office&Laboratory Office&Laboratory_ Office&Laboratory <br /> 853 Corporation Street2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 •t� 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)7348435 <br />
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