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WP0039071
EnvironmentalHealth
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ALPINE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039071
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Entry Properties
Last modified
5/2/2022 4:42:25 PM
Creation date
7/31/2019 4:02:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039071
PE
4380
STREET_NUMBER
11707
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06116031
ENTERED_DATE
11/29/2018 12:00:00 AM
SITE_LOCATION
11707 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CLAIM OF CUSTODY <br /> ENVIRAMENTAL --AGRICULTURAL Special www.fglktc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 3.5730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD 0 <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada ? a <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 o <br /> Phone: (209)468-0331 Fax: w a: <br /> Contact Person: Rodney Estrada A <br /> .. o <br /> Project Name: vwi v� <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o w Q `>�" 9_ a <br /> a: N <br /> a W C ayi F m F" <br /> Sampler(s) U O <br /> * x <br /> o o ¢o w <br /> Sampling Fee: Pickup Fee: o a h p <br /> Q y o cx•v ani ro -MO <br /> Compositor Setup Date:_/ /_ Time: /_ z O c o Z <br /> x <br /> o h a U <br /> Lab Number: STK 3-17919 o w Ta a <br /> �amp Date Time � �ac :12 <br /> p 2kation Description o o <br /> Num Sampled Sampled O ° <br /> A4 OG O VN Q <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Cornorate 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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