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WP0041718
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOORE
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16133
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041718
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Entry Properties
Last modified
10/12/2022 4:32:05 PM
Creation date
10/12/2022 4:22:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
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
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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CHAIN OF CUSTODY <br />ENVIRONMENTAL AGRICULTURAL <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Special <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />www.fglinc.com <br />Analytical Chemists <br />Field <br />Copy (.3 of 3) <br />; <br />3�730:02/06/2S <br />7 TEST DESCRIPTION <br />See <br />Reverse side for Container, Pre,varive <br />and Sampling informationJoaquin <br />a p <br />County EHD�� <br />11-c,'� <br />- <br />'Gin In, „nt, ('n �',�, �rnnrr.,, i�...i Irl, Il.,,, <br />« <br />Water Quality Dn!asion <br />Attn: Rodney Estfada <br />1868 East I-IazeltcHt Ave. <br />CA <br />L <br />Stockton, 95205 <br />Phone:,(209)468-031 Fax: <br />Contact Person: .Rodney Estrada <br />Project Name: <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />o <br />00 <br />00z <br />A <br />Sampler(s) <br />U <br />* <br />�haO <br />a <br />x <br />i>o <br />o <br />a <br />O <br />a <br />$ <br />w <br />Sampling Fee: Pickup Fee: <br />g <br />CO <br />o <br />Compositor Setup Date: _/_/_ Time: _/_ <br />¢ <br />= <br />z <br />ate, <br />O <br />a <br />a' .g <br />Era <br />0 <br />N� <br />N <br />•o z <br />U <br />O <br />A <br />x <br />F <br />x <br />Lab Number: STK 3-17919 <br />0 <br />p <br />a <br />o <br />R <br />42 <br />o <br />71 <br />Samp <br />Date <br />Time <br />Num <br />L ocation Description <br />Sampled <br />Sampled <br />, <br />E <br />a <br />c� <br />ca O <br />U -- <br />0 <br />G <br />I DW <br />I <br />I <br />1 <br />1,1,1 <br />Received By: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone. (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Date: Time: Relinquished <br />Date: Time: Received By: <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: <br />Date: Time: lReceived By: <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Dai::: lime: <br />Date: l ime: <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />
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