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WP0041718
EnvironmentalHealth
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MOORE
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16133
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4300 - Water Well Program
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WP0041718
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Entry Properties
Last modified
10/24/2022 2:36:12 PM
Creation date
9/30/2022 10:23:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041718
PE
4366
STREET_NUMBER
16133
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02702016
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
16133 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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4, FGL CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chenilsts Laboratory Copy (1 of ')) <br /> III j <br /> 1111 35731:08'.02/2021 TEST DESCRIPTION - Six Reverse side for Container. Preservative and Santplin,_ in(nrntation <br /> lient: San.Toacluin County E11D <br /> ddrCsti: S;tn Inaquin Co. Environmental Health Dep <br /> Nater Quality Division a <br /> Attn: Michael Kith <br /> cr <br /> 1869 East Ilar.eltun Ave. f <br /> Stockton.CA 9520i <br /> tone: (209)468-3444 Fax: <br /> onrtct Person: Michael Kith C <br /> F <br /> ,�/ �c` <br /> 'oject Name: <br /> nrchase Order Number: <br /> > a n <br /> cote Number: = x <br /> v <br /> �✓�r-sr�f� /�h� In � - <br /> t <br /> ii <br /> antpling Fee: _ Pickup I'ee: <br /> omposiutr Setup Date: _ !_ / Time: <br /> 3�Uf <br /> ah Number: STK 3-17919 <br /> mp Date Time <br /> uitt Location Description SamplCd SantplCd <br /> LaC'-%5 lC' S Ci U1V' Suh-3 <br /> :marks: Relinquished Date: Time: Reltn7is1 e 1 Date: Time: RClinquished Date: Time: <br /> JLi9�ct �, 7-�� I4". s y 1706 <br /> Received 1b Date: Time: Received By- Date: Time: Received By: Date: Tints: <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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