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WP0041640
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041640
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Entry Properties
Last modified
7/20/2022 1:42:15 PM
Creation date
3/16/2022 10:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041640
PE
4366
STREET_NUMBER
5433
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06104027
ENTERED_DATE
1/26/2021 12:00:00 AM
SITE_LOCATION
5433 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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- -= CHMM OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> �IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII 35730:02/06/2017 TEST DESCRIPTION See Revere .ide for Container.Preservative and Sampling information! <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environ !mal Health Dep <br /> Water Quality Division ' <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: x <br /> t.7 A <br /> Contact Person: Rodney Estrada Q 7 a <br /> Project Name: <br /> Purchase Order Number: <br /> ❑a ¢ ` a <br /> Quote Number: ST 20160309-01o <br /> ooF <br /> Sampler(s) U *' , Oa'� a O <br /> o O &, Q <br /> Sampling Fee: Pickup Fee: c a c a a <br /> A N <br /> M <br /> Compositor Setup Date: Time: / E a z O a a z O z E <br /> o 9z iw A F• <br /> , x <br /> Lab Number: STK 3-17919 o w a r U a o 0 <br /> Samp Date Time 6 '� '� =c c v x <br /> Num Location Description Sampled Sampled E~ a oa rrA O U c C7 N w a u w <br /> I G DW 1 1,1,1 <br /> Remarks: Relinquished Date: 1-ime: Relinquished Date: Time: Relinquished Date: I im <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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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