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SU0012712
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900292
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SU0012712
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Entry Properties
Last modified
9/17/2020 2:38:35 PM
Creation date
12/26/2019 1:54:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012712
PE
2690
FACILITY_NAME
PA-1900292
STREET_NUMBER
6799
Direction
E
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
04912066, 04911304
ENTERED_DATE
12/24/2019 12:00:00 AM
SITE_LOCATION
6799 E SARGENT RD
RECEIVED_DATE
12/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHmri OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Clicniists 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 IIID <br /> Address: San Joaquin Co. Environmental Ilealth Dep <br /> Water Quality Division — <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205 <br /> Phone: (209)468-033J Fax: w <br /> `y C4 <br /> Contact Person: Rodney Estrada Mi �„� b 7 ¢ <br /> Project Name: <br /> Purchase Order Number: z <br /> Quote Number: ST 20160309-01 — cc <br /> C f:, <br /> Santpler(st c +t <br /> Sampling Fee:_ Pickup Fee: * '-:5 v) Oe <br /> Compositor Setup Date: ! / Time: <br /> Lab Number: STK 3-17919 c % c, a u x C <br /> Sant p Dale Timc r — <br /> 1 Location De>cription v — z a¢ <br /> Num Sampled Sampled a C u 4 <br /> n 'Travel Blank yy, �. G LBW 1 4 <br /> 51� G DW 4 <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 8 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 1 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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