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WP0038449
Environmental Health - Public
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12 (STATE ROUTE 12)
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11136
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038449
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Entry Properties
Last modified
11/19/2024 3:48:24 PM
Creation date
6/12/2019 3:25:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038449
PE
4366
STREET_NUMBER
11136
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05114054
ENTERED_DATE
6/19/2018 12:00:00 AM
SITE_LOCATION
11136 HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Tags
EHD - Public
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-- CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> - Special www.fgUnc.com <br /> Analytical Chemists K; Customer Copy (2 of 3) f, <br /> 35730:02/06/2017 TEST DESfRIPTION - See Reverse side for Container. Prc,,,\ative and Sampling int rmfai t <br /> Client: San Joaquin County E11D <br /> Address: San Joaquin Co.Environitnental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada n; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-0331 Fax: w y <br /> Contact Person: Ro Estrada <br /> `,l A <br /> Project Name. � 1\v"� `t ( � r° <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 W <br /> w a g WO A <br /> Sampler(s) o vwi z <br /> o p ti a d °o W <br /> Sampling Fee: Pickup Fee: 5 a ; .o a O t R <br /> Compositor Setup Date: / / Time: / E —°'r, z p io s " = �O z <br /> v, E v, o g i% A E- <br /> Lab Number: STK 3-17919 0 a a g U x x x <br /> 0 ? Faw te1 Samp Date Time � d = a. Fb aII <br /> b° 2 <br /> Location Description 0 s 0 o <br /> Num Sampled Sampled p a <br /> w O U-• C7 c-4 <br /> 1 G DW 1 1,1,1 .� �Zi•� <br /> Remarks: Relinquished Date: AiTii fm]e: 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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