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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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CIimri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35731:02/0612017 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 c <br /> Phone: (209)468-0331 Fax: w �" <br /> Contact Person: Rodney Estrada A <br /> Project Name: ` y w Vim{ <br /> Purchase Order Number: a <br /> Quote Number: ST 20160309-01 y 9W4 <br /> n W G aEi E <br /> Sampler(s) o vwi zT O <br /> 2 U'l x <br /> o O �on p <br /> Sampling Fee: Pickup Fee: A a <br /> C <br /> Compositor Setup Date:_/_/_ Time:_/_ S —°'R z O x a <br /> Lab Number: STK 3-17919 o w a T .. a0 <br /> 0 o <br /> Samp Location Description Date Time .0 <br /> T o a <br /> Num Sampled Sampled <br /> 0 Travel Blank G LBW 4 l.. <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1 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.Undo 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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