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WP0043541
EnvironmentalHealth
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MICKE GROVE
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11250
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043541
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Entry Properties
Last modified
6/21/2023 5:02:48 PM
Creation date
4/3/2023 3:00:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043541
PE
4366
STREET_NUMBER
11250
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05914069
ENTERED_DATE
7/27/2022 12:00:00 AM
SITE_LOCATION
11250 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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FGL 00"'I CHmri of CUSTODY <br /> ENVIROSpecial Subcontract to www.fgunc.com <br /> Analytical Chemists Babcock Laboratories, Inc. -Customer Copy (2 of 3) <br /> 35731:08/U2/?02l TEST DESCRIPTION - See Rewrae side for Container. Presenmdve and Sampling iidarmation <br /> F."', <br /> ,Fruit Grmsers Laboratory,'Inc. <br /> cra 1-vvn...n•......i In. <br /> _&S i Corpor non St. — <br /> Sama Paula.CA 9311611-3005 — <br /> Phone: Fax: — <br /> v <br /> Contact Person: <br /> Project Name: - (3-17919) _ <br /> z <br /> Purchase Order Number: <br /> Quote Number: O j w `" <br /> > <br /> C <br /> c <br /> Sampler(s) <br /> c vWi Z r O � <br /> ca a <br /> O y <br /> Sampling Fee: Pickup Fee: <br /> v o Q <br /> Compositor Setup Date: / /_ Time: _/_ E Z O <br /> c � c <br /> —_ <br /> v = F <br /> Lab Number: s U <br /> c <br /> Saint) Date Time v a <br /> Num Location Description Sampled Sampled 2� E°7 ap' m O m v <br /> G DW 3 <br /> Remarks: 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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