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WP0037341
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037341
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Entry Properties
Last modified
9/27/2019 4:51:54 PM
Creation date
8/16/2018 4:47:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037341
PE
4366
STREET_NUMBER
15800
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05120013
ENTERED_DATE
9/21/2017 12:00:00 AM
SITE_LOCATION
15800 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CI mri OF CUSTODY <br /> EN%�IRONMENTAL-- AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists i <br /> Field Copy (3 of 3) <br /> 35731:02/06/2017 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:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person: Rodney Estrada A ¢ a <br /> Project Name: <br /> Purchase Order Number: <br /> 54 <br /> Quote Number: ST 20160309-01 wa' ¢ <br /> Sampler(s) E w a 2 <br /> O V1 C T0 i Cn rx <br /> a <br /> Sampling Fee: Pickup Fee: ? �' <br /> ' ❑ N O ro LL <br /> Compositor Setup Date: Time:_/_ E o Z p c4 ami Um <br /> E o Can- <br /> Lab <br /> nLab Number: STK 3-17919 0 c O <br /> 0 �> <br /> Samp Date Time ; '� d o <br /> Num Location Description Sampled Sampled E~ a m O w v <br /> 0 Travel Blank G LBW 4 <br /> I G DW 1 <br /> Remarks: Relinquished Dale: Time: Relinquished Date: Time: Relinquished Date: I imc: <br /> Received 13�: Date: Time: Received By Date: Time: Received By: Date: Tirnc: <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)C92-2000 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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