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WP0040864
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACK TONE
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16549
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040864
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Entry Properties
Last modified
12/16/2020 1:15:59 PM
Creation date
12/16/2020 1:12:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040864
PE
4380
STREET_NUMBER
16549
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05125024
ENTERED_DATE
6/4/2020 12:00:00 AM
SITE_LOCATION
16549 N JACK TONE 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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CHMN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 /> Atm:Rodney EstradaES <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> C7 W <br /> Contact Person: Rodney Estrada <br /> o <br /> Project Name: C7 rwi, 01) <br /> Purchase Order Number: U W <br /> Quote Number: ST 20160309-01 <br /> CU a. EF00 <br /> Sampler(s) c h z 0 00 A <br /> U * ?? a O <br /> O `g W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time:_/ E A z p a =,'Z O <br /> E $rA U 3 w A F <br /> Lab Number: STK 3-17919 o w ii T .. w %� -• a o <br /> d o =? F Ix� •• � F II <br /> S <br /> 0-Date Time ° $amp Location Description o <br /> Num Sampled Sampled 0 co a o, <br /> e4 <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 /> 'E <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)7349473 <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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