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WP0044683
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044683
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Entry Properties
Last modified
2/12/2024 10:58:25 AM
Creation date
1/24/2024 4:09:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044683
PE
4366
STREET_NUMBER
184
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95242-
APN
05805003
ENTERED_DATE
7/11/2023 12:00:00 AM
SITE_LOCATION
184 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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.A <br /> { M L <br /> CHAIN of CUSTODY <br /> ENV1R0NMENTAL -'-..-.---` AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> I I Iu I III I ILII ILII II II IIIII 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Atin:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> ad <br /> Phone: (209)468-3452 Fax: w a <br /> Contact Person: Scott Sangalang <br /> Project Name: <br /> Prof �-�. <br /> Purchase Order Number: p-ri/Jj��/ �'✓ > <br /> Quote Number: <br /> Samplers) o vwi Z >, O <br /> U * a Cn ^ >, <br /> o O O <br /> Sampling Fee: Pickup Fee: .5 a' = As <br /> a <br /> Compositor Setup Date: I I Time: / S z p a m <br /> cc <br /> a D <br /> CIO rn <br /> Lab Number: STK ( 3-17919 o y a ° O <br /> Samp Date Time 5 ;, �, Q <br /> Location Description a� o 50-5 a, <br /> Num Sampled Sampled a w ca O w v <br /> 1 lepr !; G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> eLl <br /> /lOt � -/Z-2 CLS I I I I <br /> Received By: Date: _Time: Received By: Date: Time: Received By: Date: Time: <br /> R GSA <br /> fu, Q k IQS - V +---i <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 uite 49415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo, 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783 940 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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