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WP0038766
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11999
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038766
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Entry Properties
Last modified
6/10/2019 4:20:51 PM
Creation date
6/10/2019 3:25:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038766
PE
4380
STREET_NUMBER
11999
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06508014
ENTERED_DATE
9/13/2018 12:00:00 AM
SITE_LOCATION
11999 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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-= CI mri OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3; <br /> 35730:02/06/2017 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 /> Attn:Rodney Estrada at <br /> 1868 East Hazelton Ave. 3 IU <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: u] P4 <br /> Contact Person: Rodney Estrada d " <br /> o Fee <br /> Project Name: <br /> Purchase Order Number: > <br /> Quote Number: ST 20160309-01 0 �' <br /> F o H <br /> 00 <br /> Sampler(s) U W z A <br /> ` - * A2 h a x <br /> Ra^. Q M w <br /> Sampling Fee: Pickup Fee: p° O O E~ <br /> Compositor Setup Date: / / Time: / Q z p n' ¢ : z O xa <br /> ° 0.z iy A H <br /> Lab Number: STK 3-17919 0 ii <br /> 0 0 =0 <br /> Samp Date Time •9 N <br /> ° ' °po' �Ca7'Location Description UNum Sampled Sampled F- ac� w M P2 O <br /> I <br /> a a <br /> l ` G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rectived By: Datc: Time: Received By: Datc: Timc: Wcei\cd By: Daie: 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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