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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
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SJGOV\tsok
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> -AGRICULTURAL P www..fgUnc.com <br /> ENVIRONMENTALAnalytical Chemists Laboratory Copy (1 of 3) <br /> I' "111111"I I""'1111 l"II"I''ll' <br /> illli�l �I�III IIII I��I' II,I�II I _ <br /> 3;731:08,02 20?1 ILSI DLS(kill IION 5�� Rc�ci�c .���i.0 l,nnnu�ci. Yre.e;� un� ani Sanihlmg inlurn�nu,n <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division j <br /> Atm: Michael Kith 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: <br /> C7 w <br /> Contact Person: Michael Kith Q Q <br /> Project Name: Uk u kS�J'1r�� t <br /> Purchase Order Number: !N�t L U w 3 a c <br /> Quote Number: �L) <br /> Sampler(s) 0 w z Q <br /> 5 <br /> v <br /> Sampling Fee: Pickup Fee: E a �' <br /> Compositor Setup Date: / / Time: / E a z O p W <br /> Lab Number: STK 3-17919 0 ii a ro > <br /> > <br /> ' �lamp Date Time Q <br /> Num Location Description Sampled Sampled "50� <br /> GDW Sub-3 <br /> Remarks: Re inquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Receiv By: Date: Time: Received B Date: Ti Received By: Date: Time: <br /> l5I;g— 1551 �n I�(� Iin <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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