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WP0044401
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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CHAIN OF -CUSTODY <br /> ENVIRONMENTA AGRICULTURALSpecial wwmfgUncxom <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> 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 J <br /> Atm:Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> Ca <br /> Stockton,CA 95205 3 a. <br /> Phone: (209)468-3452 Fax: w a <br /> Contact Person: Scott Sangalang Q a <br /> Project Name: /&/Yl) <br /> 'W4 l C7 Cn cc w g <br /> ow <br /> Purchase Order Number: � ���7 > Q ? ac W <br /> Quote Number: ST 20160 a <br /> Sampler(s) cz �, A <br /> NO"Fs6`WI /T�w u * .0 <br /> .0 a O <br /> * o O � a00 <br /> w <br /> Sampling Fee: Pickup Fee: S °v c�_ °"Go M a <br /> Compositor Setup Date: ! / Time: / E = z 0 " �' `O z <br /> ri E O crA 0'_' �� w O H <br /> Lab Number: STK ' 3-17919 . �% a 0. (n.. U a <br /> C W O <br /> Samp Date Time Ao = c <br /> ' o <br /> Location Description ° in °0 s' R 'v2 <br /> Num Sampled Sampled a 4 n03 O Urisii, LU <br /> 1 Il <br /> :,35 G DW 1 1,1 cZ t' <br /> Remarks: Bate: Time: ;Relinquished Date: Tame: `` Relinquished Date: Time: <br /> lReceived By: Date: Time: [Received By: Date: Timc: Received By: Date: Time: <br /> \-Z-, <br /> Coraorate 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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