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WP0041126
EnvironmentalHealth
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TOKAY COLONY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041126
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Entry Properties
Last modified
12/27/2021 11:34:32 AM
Creation date
4/26/2021 10:16:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041126
PE
4366
STREET_NUMBER
11301
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06319045
ENTERED_DATE
8/20/2020 12:00:00 AM
SITE_LOCATION
11301 E TOKAY COLONY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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Special CHAIN OF,,=1RONMENTAL AGRICULTURAL CUSTODY <br /> Analytical Chernistss' CT <br /> Laboratory Copy (1 of 3) <br /> �a <br /> i 35730:02/06/2017 TEST DESCRIPTION - .ee Reverse side for Container,Preservative and Sampling information fi <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada °a7 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: x <br /> C7 til <br /> Contact Person: Rodney Estrada \' \ A <br /> Project Name: -Jv F '�C cmc`� (��an� (n <br /> Purchase Order Number: V w <br /> > ¢ a a <br /> Quote Number: ST 20160309-01 <br /> g o F <br /> Sampler(s) 0 vWi Z O O A <br /> a Q M <br /> Sampling Fee: Pickup Fee: as <br /> Compositor Setup Date:_/_/_ Time: / rE zo p o z O <br /> _� / c gz V. A F <br /> Lab Number: STK JAI / 3-17919 o w a. T U x a a <br /> 0 0 <br /> Time JSamp Date <br /> Location Description ° QNum Sampled Sampled ° ^ <br /> a oC IM0U O cv is. <br /> ° <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquis Date: Time: Rel uis d Date: Time: <br /> 9� w ern i7 .-M 110h <br /> Received By: Date: Time: Rec 'ved By: Date: Ti iv d By: Date: Time: <br /> I I lr?/1�I 14�bl <br /> f<� �Oiv I <br /> 31 n �4—msj� <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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