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WP0043538
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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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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Special Ci MN OF CUSTODY <br /> ENVIRONMENTALAGRICULTURAL P www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> 35730:11/01/2023 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 3 <br /> Atm:Scott Sanglaang a.x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang O ¢ 2 <br /> Project Name: ' M <br /> Purchase Order Number: <br /> Quote Number: ST 201603041 a <br /> o E F <br /> Sampler(s) o w Z T A <br /> C a O <br /> x <br /> ¢O W <br /> Sampling Fee: Pickup Fee: Q.c A �D <br /> Compositor Setup Date:_/_/_ Time:_/_ — z px a z w O 2 Z <br /> ° �z <br /> Lab Number: STK 3-17919 0 ii c. a U w x w x x <br /> 0 0 a? Fes- 04O oa <br /> Samp Date Time Q '5_ =o c o x d <br /> Num Location Description Sampled Sampled ' ° <br /> P P F <br /> I G DW I 1,1 <br /> -- <br /> lKeniarks: ainyu;s;e6 Date: Time: !Rei:ncirshei Date: Time: Relinquished Date: Time: <br /> >� -ll:::ie d By: Date: e: Receive 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 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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