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WP0040961
EnvironmentalHealth
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DE VRIES
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040961
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Entry Properties
Last modified
4/6/2022 4:57:37 PM
Creation date
4/6/2022 4:37:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040961
PE
4380
STREET_NUMBER
18933
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01304010
ENTERED_DATE
7/10/2020 12:00:00 AM
SITE_LOCATION
18933 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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CHMN <br />OF CUSTODY <br />Special <br />www.fgUnc.com <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Y <br />Field Copy (3:`ot 3) <br />JI L. L IJ�� 61�II I���. II <br />t�-,ii:oh ll_2021f <br />- , <br />l . li i.l l' 1 <br />_ _ . .... I', _ • ; ,.ii .. .uiti \, I11 !'n. IIL li.ai. <br />,- <br />IJJ ���II ��J� IIT �il� �ii� _ <br />_ <br />Client: San Joaquin A'ounti EHD <br />Address: San Joaquin A., Em,ironmental Health Dep <br />Water Quality`Division <br />3 <br />Attn: Michae'rKith <br />6 rx <br />1868 East Hazelton Ave. <br />^' <br />Stockton, CA 95205 <br />3 =° <br />a <br />Phone: (209)468-3444 Fax: <br />a <br />Contact Person: Michael Kith <br />� v <br />¢ 2 <br />Project Name: <br />� x <br />3 n R <br />Purchase Order Number: <br />1 <br />w ¢ N a <br />0 <br />Quote Number:o <br />x E <br />U <br />Sampler(s) <br />0 <br />vWi z > O <br />5 <br />C? <br />15 <br />0 <br />Sampling Fee: Pickup Fee: <br />7, <br />V <br />Compositor Setup Date: / / Time: <br />/ <br />K z O <br />Lab Number: STK <br />3-17919 <br />0 <br />w a a y <br />j <br />04 <br />Samp Date <br />Time <br />—EL <br />� = c <br />g <br />Num Location Description Sampled <br />Sampled <br />;u� <br />ET I a°. m m O <br />i 'T <br />t <br />G <br />DW <br />Sub -3 <br />Remarks: <br />Relinquished <br />Date: <br />1 ime: <br />Relinquished <br />Datc: Time: <br />Relinquished <br />Date: I'ime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: <br />Date: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, <br />CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: <br />(209) 942-0182 <br />Phone: (530) 343-5818 Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />
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