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WP0039794
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039794
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Entry Properties
Last modified
12/19/2019 1:41:14 PM
Creation date
9/24/2019 10:56:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039794
PE
4380
STREET_NUMBER
16767
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05114031
ENTERED_DATE
7/10/2019 12:00:00 AM
SITE_LOCATION
16767 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMM OF CUSTODY <br /> _AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 3 <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada Ca <br /> Project Name: tC�Q Y v <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01w <br /> EU 0C <br /> o F <br /> Sampler(s) o z <br /> U * ? O <br /> Sampling Fee: Pickup Fee: E- a ?_ `=' a x H <br /> C ^ cd 4. N M G N <br /> Compositor Setup Date: / Time: / E Z p .'—_'z °O 2 z b E <br /> M . o <br /> z iZ <br /> o <br /> Lab Number: STK 3-17919 0 � a a U x H x x <br /> 0 o ; F� xO oa <br /> Samp Date Time Q of c 9 x ti v <br /> Location Description Sampled Sampled " ' ° " d V y c <br /> Num <br /> P P � F a w co 0 U`� CD N <br /> 1 G DW 1 I,l.l <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 /> 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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