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SU0011787
EnvironmentalHealth
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SU0011787
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Entry Properties
Last modified
5/7/2020 11:35:26 AM
Creation date
9/4/2019 5:20:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011787
PE
2631
FACILITY_NAME
PA-1800093
STREET_NUMBER
21600
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01308043
ENTERED_DATE
5/2/2018 12:00:00 AM
SITE_LOCATION
21600 N DAVIS RD
RECEIVED_DATE
5/1/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\APPL.PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\CDD OK.PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\EH PERM .PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\EHD COND.PDF
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EHD - Public
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FGL <br /> ENVIRONMENTAL <br /> 11111111111111 IN INVOICE "'°"" <br /> Remit To: <br /> Invoice # 930913A FGL Environmental <br /> --- 853 Corporation St = ` <br /> Santa Paula, CA 93060 °°`u^" <br /> Account # 3016964 <br /> Matt Shinn Date Billed Amount Due <br /> 21770 N. Davis Rd. 02/07/2019 $117.00 <br /> Lodi, CA. 95242 Date Due Amount Paid <br /> 03/09/2019 <br /> To ensure that your account is properly credited,please return top portion with payment <br /> Keep bottom portion for your records. o� <br /> INVOICE <br /> _m m_ <br /> Customer Account# Date Sampled Lab Number <br /> Matt Shinn 3016964 01/17/2019 STK1930913 <br /> Project Invoice # Date Billed Amount Due <br /> 21600 N. Davis Rd 930913A 02/07/2019 $117.00 <br /> PO#/Check Number Date Paid Date Due Amount Paid <br /> 03/09/2019 <br /> Description of Work Quantitv Rate Extended <br /> Inorganic Analysis <br /> Wet Chemistry-Nitrate 1 30.00 30.00 <br /> Organic Analysis <br /> EPA 504.1-DBCP,EDB 1 87.001 87.00 <br /> RECEIVED <br /> SEP 13 2019 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Amount Due $117.00 <br /> (GMA-L4) <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda Avenue 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 /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL.(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 /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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