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WP0043837
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043837
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Entry Properties
Last modified
2/22/2024 4:15:19 PM
Creation date
1/31/2024 1:42:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043837
PE
4378
STREET_NUMBER
21537
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01302010
ENTERED_DATE
9/23/2022 12:00:00 AM
SITE_LOCATION
21537 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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TGECHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL Mi'RICULTURAL <br /> Laboratory Copy (1 of 2) <br /> I 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County BUD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: C7 w y a; <br /> Contact Person: Scott Sangalang tt ,_, .0 1c Q 1! .. <br /> Project Name:2��� N' Cn rn <br /> U/t c <br /> 7 !, W cc <br /> Purchase Order Number: <br /> Quote Number: WOT <br /> y a4' <br /> .. E <br /> Samplers) c � z 0= Goa.. <br /> O 0 .50. <br /> 0 <br /> a <br /> Sampling Fee: Pickup Fee: _ c °" c <br /> Compositor Setup Date: I I Time: I E z O <br /> Lab Number: STK 3-17919 04 v p <br /> 0 o H rX <br /> Samp Date Time �s CL, Q <br /> CD <br /> Num Location Description Sampled Sampled E; a° as cu O 9 v <br /> 1 eit Mo- 1�I7.Zq 10!q G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: T' Received By: Date: Time: <br /> ICorporate Offices&Laboratory Office&Laboratory Office&Laboratory Office &Laboratory <br /> L/) 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa DO,,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo, A 93401 Visalia,CA 93291 <br /> V _ 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)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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