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SR0074864
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0074864
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Entry Properties
Last modified
7/30/2019 4:51:33 PM
Creation date
12/2/2017 11:18:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0074864
PE
4380
STREET_NUMBER
12599
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05809005
ENTERED_DATE
5/13/2016 12:00:00 AM
SITE_LOCATION
12599 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\12599\SR0074864.PDF
QuestysFileName
SR0074864
QuestysRecordID
3379259
QuestysRecordType
12
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservatige and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: S$n Joaquin Co. Environmental Health Dep t <br /> Water Quality Division 3. a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> 'L <br /> Phone: (209)468-0331 Fax: w �" <br /> Contact Person: Rodney Estrada_ Q ¢ 4 Fa <br /> Project Name: <br /> �r�1J0o(SJ �� 5 a <br /> Purchase Order Number: x <br /> I U w oa " v ui <br /> Quote Number: ST 20160309-01 N a00 <br /> E o H <br /> Sampler(s) v z > O Q <br /> D W <br /> Sampling Fee: Pickup Fee: ° o ? a <br /> Compositor Setup Date: / / Time: / n 7 p " tl O z b E <br /> E _� oz �z <br /> Lab Number: STK 3-17919 C <br /> SampDate Time o N y o <br /> Num led P Location Description Sam led Sampled <br /> " <br /> U .2 <br /> C- <br /> G <br /> w rx O - <br /> 1 G DW 1 I'Ll <br /> I <br /> I <br /> Rent,irks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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