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WP0038001
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038001
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Entry Properties
Last modified
12/27/2018 8:13:34 AM
Creation date
12/26/2018 1:16:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038001
PE
4378
STREET_NUMBER
12870
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06328019
ENTERED_DATE
3/1/2018 12:00:00 AM
SITE_LOCATION
12870 E TOKAY COLONY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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ElmCHAIN OF CUSTODY <br /> Special { www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> i <br /> 35730:02/06/2017 TEST DESCRIPTION - 5ee Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin(to. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w <br /> t.7 Gt.1 3 <br /> Contact Person: Rodney Estrada _ ellA Q <br /> Project Name: �� �• o k 2 � rn <br /> 3 a <br /> Purchase Order Number: L �1 u <br /> Quote Number: ST 20160309-01 y Ix Q <br /> 4�y E F o F <br /> 00 <br /> Sampler(s) to vWi z >, O A <br /> ( LL O <br /> n <br /> Sampling Fee: Pickup Fee: <'„ Q <br /> Cq$ No fiMCompositor Setup Date: Time: z O b z Y <br /> E <br /> d��C J to E v� V M g x w A E- <br /> Lab Number: STK 3-17919 0 w a M <br /> o <br /> Samp Date Time Boa Q = c o b x ° b <br /> Location Description Sampled Sampled °' >' o 0 'a . a, a <br /> P P F a M M O U-� t:7 cq V. <br /> Num s u <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ,.t nQ1,711ly II.,, <br /> Rcceived By: Date: Time: Received B� Dote: Tinte: 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 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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