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WP0044401
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044401
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Entry Properties
Last modified
4/12/2024 11:31:13 AM
Creation date
2/22/2024 10:02:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044401
PE
4378
STREET_NUMBER
13114
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
05523002
ENTERED_DATE
4/5/2023 12:00:00 AM
SITE_LOCATION
13114 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL WWW.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> 11111111111111 IN IIIIIIIIIIIIIIIIINI'I 35730:11/01/2023 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 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> v <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang � Q Q <br /> = a <br /> Project Name: cc <br /> Purchase Order Numbe: 0e0-?,rf4, /-Q/f C4 �: 0 <br /> > oo a ul <br /> Quote Number: ST 20160309-01 X17 N a ¢ �' <br /> E F- <br /> a <br /> Sampler(s) o z <br /> z i O -a <br /> x <br /> 1 o O �a ¢O `D W <br /> Sampling Fee: Pickup Fee: _ C4 Q] <br /> L (V (,"1 <br /> Compositor Setup Date:_/_/_ Time:_/_ E n z O ai �'z 10 0 z Z E <br /> i a o Ez <br /> F- <br /> Lab Number: STK 3-17919 0 a a C U x y^ x x <br /> a 0 = F� w"� op" 4� Fes- II a n <br /> Sam p Location Description Date Time Q o o N v a <br /> Num Sampled Sampled <br /> G DW <br /> (Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> (Received BY: Date: Time: Received By: Date: Time: Received By: Date: 'rime: <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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