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WP0042954
EnvironmentalHealth
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4300 - Water Well Program
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WP0042954
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Entry Properties
Last modified
4/21/2022 3:34:48 PM
Creation date
4/1/2022 9:33:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042954
PE
4380
STREET_NUMBER
13270
Direction
N
STREET_NAME
GALLAGHER
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06326017
ENTERED_DATE
2/4/2022 12:00:00 AM
SITE_LOCATION
13270 N GALLAGHER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> P wwiu jglinc.com <br /> Laboratory Copy (1 of 3)' <br /> 35730:02/06!2017 TEST OESCRIP CION - Sec Rcccr.r.ide for Container. Presen•alk and Sampling ntfurntation <br /> Client: San.loaquin County.EHD ; <br /> Address: San Joaquin Co.Envnironmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> u <br /> Phone: (209)468-0331 Fax: °4 <br /> C7 w � y <br /> Contact Person: Rodney Estrada <br /> Project Name: 4l), (Ta.t,(,v>j � CT.b.t <br /> Purchase Order Number: L' do <br /> o�` <br /> Quote Number: ST 20160309-01 5 2 $ a ¢ `✓ V N <br /> E Sampler(s) I c y Z r, <br /> F-L o <br /> `9 c <br /> Sampling Fee: Pickup Fee: e a .a a Fw• <br /> n <br /> ai O �a <br /> Compositor Setup Date:_/_/_ Time:_/_ E & z O a .-z �O 3274 c E <br /> rn E c&0 c ax u. F <br /> Lab Number. STK 3-17919 0 ,. y o 0 <br /> Tamp Date Time $ u ? =o c o v x v <br /> Num Location Description Sampled Sampled ' C a r- o N u N u u u <br /> G DW <br /> Remarks: Relinquished Date: Time: Reli Date: Time: Relinquished Date: <br /> ]Time: <br /> n�� d I 4)��- IC571 �fqfa (16D Cz-� 1� <br /> R ived y: Date: Time: Rece' ate: Time: Received By: Dau: Time: <br /> � [ 51t L <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lando 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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