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WP0043297
EnvironmentalHealth
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4300 - Water Well Program
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WP0043297
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Entry Properties
Last modified
10/27/2022 12:59:03 PM
Creation date
10/24/2022 2:31:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043297
PE
4378
STREET_NUMBER
16020
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05310002
ENTERED_DATE
5/13/2022 12:00:00 AM
SITE_LOCATION
16020 E BRANDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHH OF CUSTODY <br /> ENVIRONMENTAL FQL AGRICULTURAL Special www.fgUnc.com <br /> R Laboratory Copy (1 of 3) <br /> f e` <br /> I ' <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse 4 de for Container,Preservative and Sampling information <br /> ]lien San Joaquin County EHD .l <br /> 4ddress: San Joaquin Co.Environmental Health Dep ` <br /> Water Quality Division <br /> Atm:Michael Kith , 3: <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> m <br /> ?hone: (209)468-3444 Fax: <br /> =ontact Person: Michael Kim , 8 Q 8 <br /> ?rojectName: 160)-D prxob� b '6'".� c7 y n <br /> �L T <br /> ?urchase Order Number. W('DD ; 0 <br /> 2uore Number: <br /> E U <br /> Sampler(s) 11 E <br /> vwwi a 00 q <br /> �Jaw�L �ifarG( u a 0. <br /> ua a <br /> Pickup Fee: <br /> Sampling Fee: 6 a O ran h <br /> G d O Q <br /> Compositor Semp Date: / /_ Time: ! c z O a' <br /> Lab Number: STK 22 3-17919 3 c E F 210 rov <br /> :amp Date Time •5 23 <br /> Num Sampled Sampled e E <br /> Location Description u T o N O h <br /> 'B O o <br /> � / � � „`_ � p., a m m e <br /> I -!/.lM N{�rtiL D ZL D.S G DW Sub-3 <br /> lioLi <br /> temarks: Relinquis ed Date: Time: Relmq ' h Date: Time: Relinquished Date: Time: <br /> tol3lzZ ���� lD ZZ 1100 <br /> Received B Date: Time: Receiv By: at : Time: Received By: Date: Time: <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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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