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WP0040376
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040376
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Entry Properties
Last modified
5/29/2020 1:14:59 PM
Creation date
3/24/2020 1:40:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040376
PE
4366
STREET_NUMBER
830
Direction
W
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01504069
ENTERED_DATE
12/10/2019 12:00:00 AM
SITE_LOCATION
830 W WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EUD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. U I <br /> Stockton,CA 95205 3 M { <br /> Phone: (209)468-0331 Fax: 0G <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: 3 b k-0 W o O G( jy, ��� O J! <br /> Purchase Order Number: ��'� J q_S2w <br /> Quote Number: ST 20160309-01 o a ¢ "' N <br /> a W 6; a"�i oho A <br /> Sampler(s) o Cn Z T O <br /> / U rn a^ 0, x <br /> Sampling Fee: Pickup Fee: C o�, a'C21 c <br /> a 0 5 0; ;0 ?z i E <br /> Compositor Setup Date:_/_/ Time: / E p z O & <br /> o c zE- <br /> Lab Number: STK 3-17919 0 42 a, o. .. U M �x v' <br /> p <br /> d > dO C0.. —P' w II C. <br /> o F 04.. LV <br /> Samp Location Description Date Time T o o <br /> Num Sampled Sampled 9 F, a W 4 O U-- 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Dare: Time: Relinquished Date: Time: <br /> Received B Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> �� <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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