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WP0040409
Environmental Health - Public
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4300 - Water Well Program
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WP0040409
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Entry Properties
Last modified
11/21/2022 3:26:04 PM
Creation date
11/15/2022 2:13:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040409
PE
4366
STREET_NUMBER
1352
Direction
N
STREET_NAME
BALDWIN
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
10113074
ENTERED_DATE
12/19/2019 12:00:00 AM
SITE_LOCATION
1352 N BALDWIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\lsauers
Tags
EHD - Public
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IN—Mal NMI-- <br /> C HMN OF CUSTODY <br /> Special wuww.fgUnc.eom <br /> Anal�,Iical Chemistsz <br /> Laboratory Cory F1 of 3) <br /> a <br /> •IIIIIIIIII II 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Skplirig information <br /> -tient: San Joaq'` County EHD ft <br /> 'kddress: San Joagti i Co.Environmental Health Dep41. <br /> WaterQi: 'ty Division <br /> Atm Ro y Estrada <br /> 1868 Eas lazelton Ave. <br /> Stockton,+tA 95205 2 I-Int. �< <br /> ?hone: (209)468 31 Fax: <br /> �ontact Person: R.�ney Estrada ¢ u <br /> roject Name: ( k t,U• , <br /> ?urchase Order Number: 1.�(7 p p+ 0 {7 1 U w <br /> quote Number: Sr 20160309-01 a Q c H <br /> Sampler(s) �w c z 00 00 A <br /> .a <br /> N <br /> M x <br /> Sampling Fee: Pickup Fee: <br /> M <br /> Compositor Setup Date: I I Time: / y Z p a w =Z O a z E <br /> c. Z Q E� <br /> Lab Number: STK a4�5l02 c 3-17919 0 a U a u- a <br /> 0 LOQ F Il <br /> :amp Date Time �, '- o o x b 2 <br /> Num Location Description Sampled Sampled v '' o $ o a <br /> P P 2 I� a ria M O U O N iw u, <br /> 1 v� G DW <br /> Ldc <br /> temarks: Reli 's d Date: Time: shed D te: Time: Relinquished Date: Time: <br /> L <br /> /1/4��,;L /Win <br /> L 0 L gkll /2, d l <br /> %0311- <br /> Re i.a By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 93080 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)734-8435 <br />
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