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WP0043537
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11250
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043537
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Entry Properties
Last modified
6/26/2024 11:12:26 AM
Creation date
6/5/2024 2:19:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043537
PE
4366
STREET_NUMBER
11250
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05914069
ENTERED_DATE
7/27/2022 12:00:00 AM
SITE_LOCATION
11250 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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- CHAIN--OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chcmisls Laboratory Copy (1 of 2) <br /> 1111011111111111111 M 335730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EIID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division > ,a <br /> Atm:Scott Sanglaang v <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205CU <br /> a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q <br /> Project Name:I' C7 Cn Gn <br /> o <br /> Purchase Order Number: 11( peUw <br /> Quote Number: ST 20160309-01 <br /> : .. E H <br /> Sampler(s) V Z p 0 <br /> 1V � = ° <br /> .O <br /> N <br /> o ° ca QO W <br /> byCLI �N t <br /> Sampling Fee: Pickup Fee: :� w o p;' a. <br /> Compositor Setup Date: I I Time: ! A Q, z p Z 0 zca <br /> E <br /> h °oma U a 5Z <br /> ca <br /> Lab Number: STI{ 3-17919 0 a^"., T <br /> 0 '6... = F ao <br /> Samp Date Time -S a, a a c x <br /> Location Description 0 >, o 0 o <br /> Num Sampled Sampled j:.. a R1 GU O U <br /> l 7'�•�. G DW 1 1,1 ?� �•'i/ts , <br /> role, <br /> j!�� -t If. :•t -t-'.'.`I T' ,.. 7�',pt'., y.. :t_,r.• 17 i' ho Timm!: � <br /> , 5-2-7 t 21 Jim 1 <br /> A :n. *- is ! tom• ��� Lay: Date: Time: <br /> j 4. .�1'.1�'CU .1u Yt.. ��'�'CtI 1d 'I�iS.1c;: E Ri'•�W I �. <br /> t 1 <br /> 11601 Af- <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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