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WP0039901
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039901
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Last modified
12/15/2020 2:26:17 PM
Creation date
12/15/2020 2:23:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039901
PE
4366
STREET_NUMBER
9263
Direction
E
STREET_NAME
SCHMIEDT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05111067
ENTERED_DATE
8/1/2019 12:00:00 AM
SITE_LOCATION
9263 E SCHMIEDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\fgarciaruiz
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EHD - Public
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-= CHAIN OF CUSTODY <br /> ENW Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: f�Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: L�ocq� > a <br /> Quote Number: ST 20160309-01 a ¢ �' <br /> Sampler(s) o O <br /> kr,,,n�,S(o c - , Z u <br /> 6b O EA O <br /> Sampling Fee: Pickup Fee: <br /> c <br /> Compositor Setup Date:_/_/_ Time:_/_ (E z O A <br /> Lab Number: STK 3-17919 0 rn ii a cd.. ¢ <br /> O <br /> 0 0 H a <br /> amp Date Time 1s u *Z: .1 <br /> Num Location Description Sampled Sampled " H a as m O w <br /> 0 Travel Blank i- 0 G LBW 4�. <br /> 1 �/t l ' �` (hd G DW 4 <br /> (Remarks: Rel" quished Date: Time: Relinquished Date: Time: Relinquished Date: Tillie: <br /> i �� <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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