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WP0038054
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038054
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Entry Properties
Last modified
1/9/2019 12:09:45 PM
Creation date
1/9/2019 10:35:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038054
PE
4366
STREET_NUMBER
12975
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06504038
ENTERED_DATE
3/16/2018 12:00:00 AM
SITE_LOCATION
12975 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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. _ - CHMN OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> i1 35730:02/06/2017 TEST DESCRIPTION - See Reverse side ftor container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> Phone: (209)468-0331 Fax: } <br /> v w 3 <br /> Contact Person: Rodney Estrada O ¢ a <br /> Project Name: , <br /> Purchase Order Number: V w <br /> 3 a - <br /> Quote Number: ST 20160309-0100 <br /> N <br /> Sampler(s) E w z - Ca <br /> UC <br /> Sampling Fee: Pickup Fee: e a ci o E- <br /> Compositor Setup Date: /_/ Time: EEc z O o z c w Q h <br /> ° Wn <br /> Lab Number: STK 3-17919 0 C a U x <br /> ,- x x <br /> tea. H II a c <br /> Samp Date Time s <br /> Location Description ° <br /> Sam am " ' ' ° <br /> Num led Sampled P P ` " a <br /> F a m cn O U - c7 CN <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 13% Date: Time: Received By: Date: Time: Received By: Date: 'I ime: <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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