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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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Special CHAIN OF CUSTODYENVIRONMENTAL FGL . <br /> AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIII�II�f�IIIIIIIIII"I�II�I�IIIIIIIIIIIIIIIII'll 35731:01/01/2024 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 <br /> 1868 East Hazelton Ave. 3 f <br /> Stockton,CA 95205 =' <br /> 2 <br /> ° <br /> Phone: (209)468-3452 Fax: w 3 I <br /> Contact Person: Scott Sangalang t O ¢ a <br /> Project Name:5 ""7�f a <br /> '... M <br /> Purchase Ordei Number. LI �� � C <br /> Quote Number: 1`j a ¢ <br /> A <br /> Sampler(s) o N z > O <br /> Sampling Fee: Pickup Fee: S ° o a <br /> Compositor Setup Date:_/_/_ Time:_/_ E fl z O Q <br /> � E � <br /> Lab Number: STK 3-17919 0 t% n <br /> Samp Date Timea 'u .0 V ¢ E <br /> Num Location Description Sampled Sampled E~ w ca oa O w w <br /> 1 G DW 4 <br /> I <br /> Remarks: Relinquished Date: Time: Relinquished Date: 'rime: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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