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WP0041641
EnvironmentalHealth
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HARNEY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041641
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Entry Properties
Last modified
7/20/2022 1:29:02 PM
Creation date
3/16/2022 10:45:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041641
PE
4380
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
Tags
EHD - Public
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4 <br /> em CIiMN OF CUSTODY <br /> LNVIRONMENTAL AGRICULTURALi Special www.fgUnc.com <br /> Analytical Chemists Custome, .C�1py (2 of 3) <br /> f I 35731:08/02/202;^ TEST DESCRIPTION - See Reverse side for Container,Preset ti4 and Sampling information <br /> Client: San Joaquin County EHD <br /> Address4 San Joaquin Co.Environmental Health Dep �g <br /> Water Quality Division <br /> Attn: Michael Kith 3 as <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith A ¢ w <br /> Project Name: '1,, rWi, rn <br /> Purchase Order Number: a 3 n <br /> U W in � � <br /> W a <br /> Quote Number: vQ�� 1 = N x a <br /> E <br /> Sampler(s) ` n O Ca <br /> 1'( W V'Sly titV�^ v a <br /> eu o O 04 o <br /> Sampling Fee: Pickup Fee: ° u o <br /> c d <br /> Compositor Setup Date: / / Time: / a z O a c w <br /> v� 8 0 <br /> Lab Number: STK ? 3-17919 o a n > <br /> bo o n? O 0 C7 <br /> Samp Date Time -B a <br /> Num Location Description Sampled Sampled H a oG PG O rn v <br /> I G DW Sub-3 <br /> Remarks: Relinquislicd Datr: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 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.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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