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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
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> F- WGIIE ENVIRONMENTAC-�P AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 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 3 a <br /> Attn:Scott Sanglaang o; <br /> 1868 East Hazelton Ave. <br /> Cd <br /> Stockton,CA 95205 3 C° <br /> a <br /> a <br /> Phone: (209)468-3452 Fax: w _ <br /> Contact Person: ScotttSangalang <br /> Project Name: Q <br /> r,eV v, �tdl C7 W c <br /> V3 <br /> Purchase Order Number: 12SU > G a <br /> Quote Number: WI a y ¢ _ <br /> Sampler(s) 0 Z T <br /> U <br /> _i~ <br /> o O p' <br /> Sampling Fee: Pickup Fee: 5 °" � v a <br /> n, o <br /> a a' Z Q a: a`;i <br /> Compositor Setup Date: l I Time: I 8 <br /> Lab Number: STK 3-17919 0 � a .. ~Q <br /> 2LO <br /> o C .2 E' 94 <br /> Samp Location Description Date Time c ¢�c <br /> Num Sampled Sampled 2 E. a ca oa O W� <br /> A6LI , G DW 3 <br /> E <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: 1 Relinquished Date: Time: <br /> 247 iT;,� <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Q �,S -2_ -a14 L blk- <br /> I <br /> Co orate Offices&Laboratory Office&L.aboratory Office&Laboratory Office&L.aboratory U 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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