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WP0043538
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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WP0043538
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Entry Properties
Last modified
6/26/2024 11:12:37 AM
Creation date
6/5/2024 2:20:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043538
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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Eq G-7 CHAIN-OF CUSTODY. <br /> Special www.fgUnc.com <br /> Analytical Clicinisis Laboratory Copy (1 of 2) <br /> 1111111 M I I lip 11111111H Moll 35730:1110112023 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 a <br /> Attn:Scott Sanglaang c; <br /> 1.868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-3452 Fax: w _ a <br /> Contact Person: Scott Sangalang r <br /> /_ <br /> Project Name:r/� p rM G'�� M t I ted 6 C7 `w�' <br /> Purchase Order Number:WY � > 3 a w <br /> Quote Number: ST 201603�W h w <br /> Sampler(s) t° N z y O A <br /> N O <br /> O .5 a, <br /> Sampling Fee: Pickup Fee: 5 <br /> as o <br /> Compositor Setup Date: ! / T' / E z p u �' 6.0 z E <br /> a M 'o z Z <br /> Lab Number: STK q�63-17919 0 &% •� cis <br /> U a a i'" <br /> 0 0 9: H rx� 0•• � H II <br /> Samp Date Time -S " =o o 2 x :2 b <br /> Num Location Description Sam led Sampled <br /> v u � <br /> p P E-' a° r a w O U 0 C4 <br /> IPyl <br /> G DWpa <br /> 1 l,l !Q• <br /> �itC:'::1•ri5: �.Sr e%�rJ�:.I�?:. �.•.a..-. i:i..n-. •.:.ic....:v...'t.:l r.s �:Z°_-.. •�l;.;r+; f n-:: n_ ':•-hed Date. <br /> T�mc: <br /> i <br /> V"VVtt//��✓v` .;:_._..:a y: 1� T• t i.�e=:.i i3� .,. 1 !,... ecCa cJ 13y: Dnic: '1 i:ne: <br /> Corporate Offices&Laboratory Office&Laboratm 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)392-2083 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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