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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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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3). <br /> 35731:02/06/2017 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 w <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Z! Q <br /> x <br /> Project Name: Cn <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y a <br /> E <br /> Sampler(s) o z <br /> leW6 n T <br /> Sampling Fee: Pickup Fee: 2 w L O = a <br /> I <br /> � <br /> Compositor Setup Date:_/_/_ Time:_!_ � a z O o <br /> CO) A <br /> Lab Number: STK 3-17919 0 ii a — 40 <br /> T N <br /> x0 <br /> amp Location Description Date Time T o `'S w o <br /> Num Sampled Sampled "9F. a C4 W O w <br /> 0 Travel Blank S G LBW /t <br /> 1 c�2GZG� G DW 4 <br /> Remarks: <br /> Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> L� <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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