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WP0043967
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043967
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Entry Properties
Last modified
4/17/2023 11:17:56 AM
Creation date
4/3/2023 3:04:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043967
PE
4380
STREET_NUMBER
9936
Direction
E
STREET_NAME
LYONS
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
25724044
ENTERED_DATE
10/25/2022 12:00:00 AM
SITE_LOCATION
9936 E LYONS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHmri OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL � AGRICULTURAL <br /> Arudyti�l Chemists Laboratory Copy (i of 3) <br /> II III II III I�IIIII�II II 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Atm: Michael Kith a <br /> 1868 Fast Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> 0 <br /> a C <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Iv ichael Kith <br /> Project Name: V6 <br /> Purchase Order Number: � j a Y o <br /> Quote Number: <br /> a <br /> Sampler(s) U y Z a. O q <br /> Sampling Fee: Pickup Fee: <br /> a e `v o to Q <br /> Compositor Setup Date:_/_/_ Time: / EE o, Z O w a W <br /> L/ h E Nn u <br /> Lab Number: STK �33 '77 3-17919 2°U <br /> Samp Dale Time o, 5 uo °1 a E <br /> Num 0— <br /> Location Description Sampled Sampled F a ai w O 0C) <br /> 1 G DW Sub-3 <br /> Remarks: elinquish Dat* Time- Rel7ed 3/ Date: Time: Relinquished Date: Time: <br /> \J-�� Received /D/yte: 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.Undo 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 Phone:(559)734-9473 <br /> Env Fax:(805)5254172/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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