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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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Special CHAIN OF CUSTODY <br /> -ENVIRONMENTAL AGRICULTURAL <br /> N www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 'Ii I ,III, iI <br /> 11111 335731:02,'06/2017 TESL DL'SCRIIr I ION See Reverse side for Container. 1 reservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental I loaldi Dep <br /> Water Quality Division <br /> Attn: Rodney Estrada a <br /> 1868 East Ilazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (2179)468-0331 Prix: c7 x a <br /> p ^o <br /> Contact Person: Rodney Estrada v, ¢ E a <br /> Project Name: N <br /> C4 :: <br /> Purchase Order Number: L�`•1 U w <br /> Quote Number: ST 20160309-01 a ? <br /> c <br /> Samplers) E U� r O <br /> Sampling I-ce: _ - Pickup Fee: _ u ? v a. <br /> Compositor Setup Date: / / Time: I <br /> Lab Number: STK 3-17919 % n: o a r p <br /> u 2 <br /> Sanp Date Time -S < u E <br /> Nti n Location DescriptionSampled Sampled j — <br /> O <br /> O Tfa%rel[31ank G LBW 4 <br /> I G D IX 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time Relinquished Date: '1'1111c: <br /> 1 , <br /> RCceived By Date: Time Received By: Date: Time: Recei%Cd By: Date: 11111e: <br /> f? (f�Z <br /> Cornorate Offices&Laboratory Office&Laboratory Office 8,Laboratory Office&Laboraton, Office 8,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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