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WP0038046
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038046
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Entry Properties
Last modified
1/9/2019 12:07:28 PM
Creation date
1/9/2019 10:35:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038046
PE
4366
STREET_NUMBER
6100
Direction
E
STREET_NAME
HOGAN
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06114081
ENTERED_DATE
3/16/2018 12:00:00 AM
SITE_LOCATION
6100 E HOGAN LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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CHAIN OF CUSTODY <br /> -ENVIRONMENTAL AGFUCULTURAL <br /> Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 3731:02/06/2017 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. rolu <br /> Stockton,CA 95205 n <br /> l <br /> Phone: (209)468-0331 Fax: P4 <br /> Contact Person: RodneyEstradaA <br /> Project Name: �?1 �f / C7co <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 ti a dlu <br /> Sampler(s) �� (� o (11z > O <br /> U u h a <br /> Sampling Fee: Pickup Fee: E o v' <br /> c w O� P. <br /> Compositor Setup Date:_/ /_ Time:_/_ E Q z O a; a 1 <br /> Lab Number: STK 1 I o Z' 3-17919 w T O 8 p <br /> Samp, Date Time Ei <br /> Num Location Description sailip leil Sampled E: a° m w O w a <br /> 0 Travel Blank G LBW 4 <br /> 1 �r G DW 4 <br /> t <br /> Remarks: Relinquished Date. Time: Relinquished Date: Time: 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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