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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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Special Cion OF CUSTODY <br /> ENVIRONMENTAL -- AGRICULTURAL www.fgUnc.com <br /> !! `` Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIII�II�Ii��I�IIIIIII�IIIII�I�llllllllllll 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San.loaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn: Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: 209)468-3452 Fax: ax <br /> ( v w 3 <br /> Contact Person: Scott Sangalang Q ¢ w <br /> Project Name: Pq'�'T y�4 GKr� dv� <br /> r <br /> rx � <br /> Purchase Order Number: U w <br /> frnll rn�4 ¢ <br /> w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) U z T O .a <br /> O <br /> o O '=� ¢O W <br /> Sampling Fee: Pickup Fee: 5 ° v o� ° o F" <br /> n Co 5 'U a" •o Z : E <br /> Compositor Setup Date:—/ / Time: /— E z O R = z `u O <br /> ,—_, <br /> v o cn o c zF- <br /> Lab Number: STK 3-17919 0 a o U x x x <br /> 0 0 = F o a F II a a <br /> Samp Location Description Date Time v o N 0 =a v °J <br /> Num Sampled Sampled F a m w O U <br /> 1 G DW <br /> l i <br /> '_• �• "^r• _ ::me: fReiinauistmd Hate: Time: Relinquished Date: Time: <br /> _.._cCkF: !. �-._ -....__ <br /> _._ y: Date: Time: (Received By: Date: Time: <br /> i <br /> . I <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)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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