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WP0041718
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOORE
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16133
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4300 - Water Well Program
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WP0041718
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Entry Properties
Last modified
10/24/2022 2:36:12 PM
Creation date
9/30/2022 10:23:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041718
PE
4366
STREET_NUMBER
16133
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02702016
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
16133 N MOORE 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 /> EINVIRO MENTAL AORICULruRALSpecial Wi f fgUri6x0m <br /> s T aboratory COPY (1 of <br /> ?Lj <br /> �fia,l 35`I30:02/06k2017 TEST' )ESCRIPTION - Sle Reverse side for Container,Ptt servative and Sampling ' formation <br /> --lient: San Joaquin Cou MID F' _ • <br /> NIrrcc C•m Towittin Co F�;rimnieiwil tt •Ofh h,•r, • r <br /> Water(duality Uiv cion <br /> Attn:Rodney Estr i� °' '• <br /> 1868 East Hazelto .�ve. v <br /> f Stockton,CA 95 5 <br /> ?hone: (209)468-0331 Fax: <br /> -ontact Person: /Rodney Estrada P N ¢ L <br /> ?roject Name: Q-3 j ~w r <br /> ?urchase Order Number: A,J Mr�T l 7 0 ^U a <br /> W � rn � <br /> 2uote Number: ST 20160309-01 <br /> U N a ui <br /> c <br /> Sampler(s) V 0O a. A <br /> �. <br /> AIA 6�� � a o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: I I Time: I °' z p a = i°O Z <br /> o� •oz �xtn <br /> Lab Number: STK �.a5 2)()0 3-17919 0 400a c.. v a <br /> c o s H II <br /> ;amp <br /> FSampled <br /> 1 ! Cit e Time L o xLocation Description C13 M a5 ,ni0 <br /> i� 2Num Sampled M aO U 0c� u <br /> u's <br /> G DW <br /> temarks: Relinquished Date: Time: R hed D te: Time: Relinquished Date: Time: <br /> N �3 10 :mss /3 /ladCn i'07 <br /> Recei ed B . Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> �/ <br /> 3�R 4 /�c-a-r7gA cry4/ <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)525-41721 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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