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WP0044382
Environmental Health - Public
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20896
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044382
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Entry Properties
Last modified
7/22/2024 9:27:45 AM
Creation date
6/27/2024 11:48:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044382
PE
4366
STREET_NUMBER
20896
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24512054
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
20896 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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_ CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (I of 2) <br /> [�I 11IIf I {t� Ikf�I�I 35731:04/03/2023 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 <br /> Atm:Scott Sanglaan; ��. a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 n. <br /> Phone: (209)468-3452 Fax: * ^ 04 <br /> Contact Person: Scott Sangalang tA/V��n y(41j'9 ZProject Name: <br /> ,f CA ^ <br /> Purchase Order Number: U w 3 <br /> cI <br /> S <br /> Quote Number: 73� o ¢ ^ <br /> Sampler(s) 0 Z a, a0 <br /> fievicx- <br /> Sampling Fee: — Pickup Fee: <br /> Compositor Setup Date: I_l Time: t~ z O <br /> D rn E c En Q.. <br /> Lab Number: STK 3-17919o w a T ^ p <br /> a 0 <br /> Samp Location Description Date Time o � a'� <br /> Num Sampled Sampled H a 90 coo w v <br /> ' lived I Lae df c DW 3 <br /> me: ;..clinlaihed Time.L::c: Ir <br /> > ! <br /> Uaay ��Z NZ� (� 6S9E <br /> i ! CL_C 'CC;.�'. +:.t`: :q:... t='•. i,'C� L�j: ,..d:. i+Il�: :C..2�cL���. Date: ltY1tl. <br /> S ; <br /> j <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 9411 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br /> i <br />
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