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SR0079995
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079995
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Last modified
7/16/2020 1:40:05 PM
Creation date
3/27/2019 8:23:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079995
PE
2602
FACILITY_NAME
BLOCK 21 WINERY
STREET_NUMBER
21600
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01308043
ENTERED_DATE
12/17/2018 12:00:00 AM
SITE_LOCATION
21600 N DAVIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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• September 28,2018 Lab ID : STKI853663 <br /> Live Oak Geo Environmental Customer : 3-16608 <br /> Certification:: I certify that this data package is in compliance with ELAP standards,both technically <br /> and for completeness,except for any conditions listed above. Release of the data contained in this data <br /> package is authorized by the Laboratory Director or his designee,as verified by the following electronic <br /> signature. <br /> KD:DMB <br /> Digitally signed by Kelly A.D—hoo,B.S. <br /> Approved By Kelly A.Dunnahoo,B.S. Title:Lab—toy Di eetor <br /> Date.20IM9-28 <br /> • <br /> • <br /> Page 2 of 7 <br />
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