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SU0012712
Environmental Health - Public
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SU0012712
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Entry Properties
Last modified
9/17/2020 2:38:35 PM
Creation date
12/26/2019 1:54:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012712
PE
2690
FACILITY_NAME
PA-1900292
STREET_NUMBER
6799
Direction
E
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
04912066, 04911304
ENTERED_DATE
12/24/2019 12:00:00 AM
SITE_LOCATION
6799 E SARGENT RD
RECEIVED_DATE
12/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ErWIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists CUSt0Mel' Copy (2 of 3) <br /> 14111111 111i 11 IMI Ifil 1111P11 1H1 1I 11111111 35730:02!06!2017 TIS"l'DESCRIPTION - Sre;Reversc ,(dc lire Container. Prc ei%an\e and Sampling inimmauom <br /> "lien: tian Joaquin County EI1D <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division — <br /> .Attn:Rodney Estrada S x <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205 3 <br /> _ v <br /> Phone: (209)468-0331 Fax: <br /> V W _ <br /> Contact Perim: Rodney Estrada LP < <br /> Project Name: N <br /> Purchase Order Number. L YLI n <br /> Quote Number: 5"r 20160309-01 N <br /> W a E <br /> Sampler(s) E uj ! r. <br /> O <br /> Sampling Fee: " Pickup Fee: y n <br /> L1_N N'1 Z Y <br /> Compositor Setup])ate: ! Time:_/ E O x = y O v — <br /> Lab Number: STK 3-17919 c N a " E a a C <br /> Saint) Date Tints — _ E = E x <br /> Location Description u � = = v L n _' <br /> NUM Sampled Sampled T i <br /> i 6 ])W <br /> r <br /> c <br /> I <br /> i <br /> Remarks: Relinquishc,l Dale: Time: Relinquished Date: llme: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: Received By: Date: Ione: Recei%ed By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratorl 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 I <br />
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