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WP0041637
EnvironmentalHealth
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CHERRY GLEN
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21711
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4300 - Water Well Program
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WP0041637
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Entry Properties
Last modified
6/24/2022 8:48:26 AM
Creation date
6/16/2022 10:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041637
PE
4366
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAM OF CUSTODY <br /> Special www.fgUnc.coM <br /> r Laboratory Copy (1 of 3) od <br /> 35731:08/02/2021 TEST DESCRIPTION - Se Reverse side for Container,Preservative and Sampling information <br /> 'liens: San Joaquin County EHD -s '' <br /> kddress: San Joaquin Co.Environmental H4alth Dsp c i <br /> Water Quality Division a <br /> Attn: Michael Kith x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> 'hone: (209)468-3444 Fax: x x <br /> v <br /> :ontact Person: Michael Kith (,� rA <br /> 'roject Name: I7 I I C �' v ! Cr 111 0 <br /> to) o c9i R <br /> 'urchase Order Number: v a Q <br /> ?note Number: o ¢ �' u <br /> LU E <br /> Samplers) �grY1 C� o rn z p A <br /> .§a <br /> Sampling Fee: Pickup Fee: E <br /> Compositor Setup Date:_/_//_ Time:_!_ a Z O x w <br /> V l��`t' C .••. <br /> Lab Number: STK 165)� a 3 17919 0 T �j <br />
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