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WP0042954
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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
Scanner
SJGOV\tsok
Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Field Copy (3 of 3) <br />`_ _f( I�III�IIIIIIIIIIIIIIIIIIIIIIII��Illlllllk•IIIIIIIIIIi _ _ 35731:08 112 2021 1LS.1 DLSCRIPI10'N See Re�euc „tis lur C„ntaincr. I're,endMc dud Scuupltu iulurntauun �— <br /> Client: San Joaquin County EHD r� <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division s` <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: w �" <br /> Contact Person: Michael Kith d <br /> � rx <br /> Project Name: v� n T <br /> Purchase Order Number: <br /> O <br /> Quote Number: o w U <br /> a W P E F GO <br /> Sampler(s) U Ln a <br /> Sampling Fee: Pickup Fee: <br /> a C <br /> Compositor Setup Date: / / Time: / p, z p a a w <br /> Lab Number: STK 3-17919 0 <br /> 0 DC7 <br /> Samp Location Description Date Time 6a o o <br /> Num Sampled Sampled 'A H p, pq .=0 vt <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received BY: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> r' <br /> g` 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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