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WP0040504
EnvironmentalHealth
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ALPINE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040504
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Entry Properties
Last modified
3/3/2021 3:13:39 PM
Creation date
3/3/2021 3:06:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040504
PE
4366
STREET_NUMBER
14602
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06307020
ENTERED_DATE
2/5/2020 12:00:00 AM
SITE_LOCATION
14602 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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- == CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 111111111111111111111111111111 IN 35730:02/06/2017 TEST DESCRIP'T'ION - 5ee 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 a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada d S <br /> Project Name: <br /> x � _ <br /> Purchase Order Number. <br /> Quote Number: ST 20160309-01 <br /> N <br /> 00 <br /> Sampler(s) r l E w z tog <br /> O A <br /> U y C F O <br /> b 5a d-0 w <br /> Sampling Fee: Pickup Fee: °" o t' a <br /> Compositor Setup Date: / / Time: '—' z O o: z O z b <br /> o Q E <br /> Lab Number: STK 3-17919 o w a T U a a N x x <br /> o <br /> SDatTime <br /> Location Description ONum Sampled Sampled U .uJ°O0 Uo` u~.x=n: <br /> w <br /> 1 G DW <br /> Remarks: Relinquished Date: 1,1111c: Relinquished Date: Time: Relinquished Date: I ime: <br /> Tf <br /> Reeeived,B� Date: Time: Received By: Date: Time: Received By: Date: Gime: <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 /> I <br />
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