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WP0040504
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040504
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Entry Properties
Last modified
3/3/2021 3:13:39 PM
Creation date
3/3/2021 3:06:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040504
PE
4366
STREET_NUMBER
14602
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06307020
ENTERED_DATE
2/5/2020 12:00:00 AM
SITE_LOCATION
14602 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> �, --- AGRICULTURAL 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 3 a <br /> Attn: Rodney Estrada y, <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> v <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada i Q ¢ 2 pF <br /> � a <br /> C7 W a? o <br /> Project Name: <br /> Purchase Order Number: ai w z <br /> Quote Number: ST 20160309-01 a ¢ `,, <br /> Sampler(s) 0 z C > O <br /> U "� <br /> Sampling Fee: Pickup Fee: E- <br /> p o n <br /> Compositor Setup Date: / / Time: / E fl. z O <br /> n E =o G? <br /> Lab Number: STK 3-17919 0 a_ a b p <br /> 0 0 °' F• cG C >_ <br /> Samp Date Time s ¢ E <br /> Num Location Description Sampled Sampled F' a° p w o <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <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 /> 6#16 z1- <br /> to ,z �, <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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