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WP0037104
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037104
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Last modified
5/24/2019 4:06:59 PM
Creation date
5/24/2019 3:25:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037104
PE
4366
STREET_NUMBER
150
Direction
E
STREET_NAME
TADDEI
STREET_TYPE
RD
City
LODI
Zip
95220-
APN
01313024
ENTERED_DATE
8/17/2017 12:00:00 AM
SITE_LOCATION
150 E TADDEI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Tags
EHD - Public
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Y <br /> ENVI.ONMENTAL' -7 AGRICULTURAL <br /> ---- �� Special CxwwwO.rglfnc.comODY <br /> Analytical Chemists Meld Copy (3 of 3) a <br /> ill 1111111111111111111111111111111111111111111111 IN 1111 35730:02/ 017 GEST DESCRIPTION See Reverse side for Container,Pn:servative and Sampling information <br /> Clilpt: San Joaquin County EHD ` <br /> A ess: San Joaquin Co.Environmental Health Dep $ <br /> Water Quality Division j <br /> ±; Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. IU <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: O <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 5 o F <br /> °° A <br /> Sampler(s) o z T .a <br /> { \ O a <br /> on M 'S ¢O W <br /> Sampling Fee: Pickup Fee: 5 ; o °"0 o <br /> a °: o N A am d y a> <br /> Compositor Setup Date:_/_!_ Time:_/_ CIO6 z O c o z c <br /> 0 z w q E5^ <br /> Lab Number: STK 3-17919 o rn a a V x <br /> 'o o <br /> Samp Date Time -aQ c <br /> Location Description Sam " ' ° M � <br /> Num led Sampled <br /> P P H a GG 04 O U <br /> 1 G DW <br /> Rein�u S: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recei\ed Bv: Date: Time: Received By: Date: Time: Received By: Date: 1'inte: <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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