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WP0042160
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4300 - Water Well Program
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WP0042160
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Entry Properties
Last modified
10/24/2022 2:36:41 PM
Creation date
9/30/2022 10:23:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042160
PE
4366
STREET_NUMBER
16018
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05120065
ENTERED_DATE
6/16/2021 12:00:00 AM
SITE_LOCATION
16018 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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PP FGL CHIN OF CUSTODY <br /> I ENVIRONMENTALSpecial www.fgUnc.com <br /> AwAytical Chemistsi 'Labdratory Copy (1 of 3) <br /> 35731:082/2021 TEST DESCRIPTION - See Reverse side for Container, reservative and Sampling information <br /> Client. San Joaquin County EHD <br /> i <br /> ddress: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Am:Michael Kith <br /> f 1868 East Hazelton Ave. i`. B <br /> Stockton,CA 95205 '; 3 <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kith <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: <br /> od h a <br /> c E <br /> Sampler(s) o H Z a, o <br /> X� \ <br /> ca <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: E a z p <br /> n E �v 2F <br /> Lab Number: STK I 3-17919 0 a r v.. <br /> o = F aS C7 <br /> am Date Time �s <br /> Num Location Description Sampled Sampled F a m m O r' <br /> G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished D te: Time: Relinquished Dale: Time: <br /> m" '1. S Z2 ll� <br /> Received By: Date: Time:gg �f- Receiv d By ate: Time: Received By: Date: Time: <br /> 61 A[� a871IIUD <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Road 563 E.Undo 3442 Stagecoach Street 2500 Corporation Sta Empress Drive,Suite D 9415 W,Goshen Avenue <br /> P IQ 9 <br /> Santa Paula,CA 93060 `'ll 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/All 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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