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WP0039533
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039533
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Entry Properties
Last modified
10/29/2020 4:53:59 PM
Creation date
9/19/2019 4:38:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039533
PE
4378
STREET_NUMBER
14501
Direction
N
STREET_NAME
WELLS
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06103066
ENTERED_DATE
4/22/2019 12:00:00 AM
SITE_LOCATION
14501 N WELLS LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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IM <br /> _ CHAIN OF CUSTODY <br /> • — Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35730:02/06/2017 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 x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 n <br /> Phone: (209)468-0331 Fax: <br /> C? ua <br /> 00 y <br /> Contact Person: Rodney Estrada ro Q ¢ E <br /> o W �? <br /> Project Name: C7 <br /> Purchase Order Number: G <br /> > ¢ a <br /> Quote Number: ST 20160309-01 <br /> 0 W C. Uoho <br /> Sampler(s) U w v O Q <br /> * a x <br /> 04 <br /> 0 'E� Q O W <br /> Sampling Fee: Pickup Fee: 5 ° I c aC14 n F <br /> Compositor Setup Date: / / Time: / E o z O a -z O z E <br /> -- E z Zkn <br /> Q F <br /> Lab Number: STK 3-17919 0 w ii a m a a a a n <br /> a o ';5 F Gti F II <br /> Samp Date Time o o o v x <br /> Location Description Sam " ' O d A <br /> Num led Sampled <br /> P P 2 F- a. co am O U -- 0 , <br /> 1 G DW <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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