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WP0037642
EnvironmentalHealth
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MICKE GROVE
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11374
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037642
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Entry Properties
Last modified
9/29/2018 7:50:11 PM
Creation date
8/23/2018 1:10:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037642
PE
4370
STREET_NUMBER
11374
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05914003
ENTERED_DATE
11/28/2017 12:00:00 AM
SITE_LOCATION
11374 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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I CHAIN OF CUSTODY <br /> Er <br /> -AGRICULTURAL Special www.fgUnc.com WiRONMENTAL <br /> Analytical Chemistss4 Field Copy (3 of 3) <br /> 3730:02/06/2017 TEST DESCRIPTION - See Revell side for Container,Preservative and Sampling information <br /> i <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep 1 <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 �+ <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 A <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: V W � � w <br /> Quote Number: ST 20160309-01 .N a <br /> 8 o F <br /> Sampler(s) U w z T S °O A <br /> O <br /> Sampling Fee: Pickup Fee: c a O o a O a <br /> Compositor Setup Date: / /_ Time: z <br /> z° O a z � ,� M E <br /> V <br /> Lab Number: STK 3-17919 0 �n p^, <br /> pp as a a <br /> 0 0 ,a F a� 3a F II <br /> amp Date Time •s a '� a� =oR o o <br /> Num Location Description Sampled Sampled v ' ° o <br /> P P E- a w ca O v O <br /> I G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dar: Time: <br /> Received B�: Date: Time: Received By: Date: Timr: Received By: Date: Time: <br /> Corporate Offices R Laboratory Office&Laboratory Office&Laboratory Office 8,Laboratory Office&Laboratory <br /> s 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)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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