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WP0043602
Environmental Health - Public
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4300 - Water Well Program
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WP0043602
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Entry Properties
Last modified
10/26/2022 3:00:24 PM
Creation date
10/24/2022 2:31:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043602
PE
4370
STREET_NUMBER
2538
Direction
N
STREET_NAME
PINASCO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08920008
ENTERED_DATE
8/10/2022 12:00:00 AM
SITE_LOCATION
2538 N PINASCO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CHAIN OF CUSTODY <br /> ilCUITURAL- <br /> Special , - www.1g .com <br /> r •• Laboratory Coy (1 of 3) <br /> 1 <br /> I 35730:02/06/2017 TEST DESCRIPTI©N - See Reverse side for Container,Preservative and Sampling informatioq 9 <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environme I Health Dep <br /> Water.Quality Division j <br /> Attn:Rodney Estrada 3 a <br /> 1868 cast Hazelton Ave. <br /> Stock t n,CA 95205 <br /> Phone: (209)468-0331 Fax:; w W c" <br /> Contact Person: Rodney Estrada ` <br /> Project Name: 15 � P��G�5 W VtG l 5 0 w 2 n _ <br /> aea � ea <br /> Purchase Order Number: w ir ob 4;6Oa U w 3 -• <br /> Quote Number: ST 20160309-01 w Q <br /> w <br /> Wow w ^ E o 0 <br /> Sampler(s) o vwi z �, O <br /> 4L U * O 0 <br /> o o � ¢o w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: l I Time: J y z p t°O '� y <br /> Ir = o z ^z <br /> Lab Number: STK 045LI o 3-17919 b � � � �O �a �a �.� � a <br /> o t� II <br /> Samp Date Time 4 <br /> ' oo <br /> M b <br /> Location Description 4' <br /> 1 O U= O ^Num Sampled Sampled <br /> 1 � tp ;0 G DW 1 1,1,1 's�'1 <br /> Remarks: Relinquished Date: Time: Reed Date: Time: elinquished Date: Time: <br /> l' fish <br /> /V� [Vt.& -I 5o� <br /> /2�Ozz, 1-7001 <br /> �� lt�_ <br /> d By: Date: Time: Received By: d 1t14? 2,Z- <br /> Date: Time: Received By: Date: Time: <br /> .6/° z4zz /3o � /"l v-6 vm4 <br /> Coroorate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lando 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)343-5818 Phone:(805)783-2940 %4+' 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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