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WP0042669
EnvironmentalHealth
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MICKE GROVE
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10979
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042669
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Entry Properties
Last modified
6/20/2024 9:22:06 AM
Creation date
5/28/2024 4:00:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042669
PE
4378
STREET_NUMBER
10979
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05921045
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
10979 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHMN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> 35730:11101/2023 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 <br /> Attn:Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang <br /> Project Name: AA,/aly- V— / O e vo, <br /> Purchase Order Number: (A f Pd O Z W ¢ &0 <br /> r <br /> Quote Number: ST 20160309-01 o x <br /> H G Ey <br /> Sampler(s) E ZNk 1-57 O <br /> .. <br /> es 0 <br /> * o O •Z� QO � W <br /> Sampling Fee: Pickup Fee: E "' c C* Ow Cn c.E" <br /> Compositor Setup Date: I 1 Time: I E fl, z O w Z O U Z E <br /> CU i~ p v c 5 z <br /> Lab Number: STK ` 3-17919 T w o a a U)'~ 06 as <br /> Samp Date Time -9 'Z aa a a <br /> Location Description aEi a <br /> o CU Sampled Sampled 2 a, m aO U C.-41 0 e4 is. a' <br /> Z: G DW 1 1,1 �D Zoom <br /> _ � l � � i � _i......___..�—__._—.mss.—.__,. ! � —!--__.•_.___��._._. <br /> i,��(.�: "din}e: ei,r: uislted Date: <br /> q Pint_ <br /> ?%3 ie: :...:�: __a`�.:',L?-_" �1:•n: ":'fie::: !R:..:�':CU L;V: Date: 'T:,r,}`.: <br /> Liz) <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 9411 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)5254172/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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