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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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FGL CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (i of 3) <br /> III III I'llllllll'llll II 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHA <br /> 4ddreae Snn I...,an in r'n Pno ironrtti mal HPahb nen <br /> Water Quality Division <br /> Atm:Michael Kith 3 P' <br /> 1868 East Hazelton Ave. H �. �. <br /> Stockton,CA 95205 3 .° <br /> v <br /> Phone: (209)468-3444 Fax: ' <br /> cv m 3 h <br /> Contact Person: Michael Kith12 <br /> O <br /> Project Name: <br /> Purchase Order Number: <br /> \-`� t? > m a O <br /> Quote Number: w �� = ¢ N U <br /> m <br /> a E <br /> PQ <br /> Sample (s) o to T G D <br /> 0. <br /> Sampling Fee: Pickup Fee: <br /> E o <br /> Compositor Scrap Date: / / Time: / 5 y Z O L t�v, <br /> n E n u <br /> Lab Number: STK 3-17919 `o A" m <br /> c `o v ET- a v a <br /> O �'U <br /> ;amp Date Times a — E <br /> Num Location Description Sampled Sampled F a° m aiOi O h a <br /> G DW Sub-3 <br /> 3emarks: Relin coshed D Time: Retro /u rye/p� te: Time: Relinquished Date: Time <br /> Received ate: Time: Receiv(�UBy: ate: Time: Received By: Date: Time: <br /> 2 g 44 I�;V 8 ZZ 17� <br /> Corporate 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 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)3435818 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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