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WP0043541
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11250
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043541
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Entry Properties
Last modified
6/21/2023 5:02:48 PM
Creation date
4/3/2023 3:00:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043541
PE
4366
STREET_NUMBER
11250
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05914069
ENTERED_DATE
7/27/2022 12:00:00 AM
SITE_LOCATION
11250 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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ML <br /> CHAIN OF CUSTODY <br /> ENVIKONMENTALSpecial www.fglinc.corn <br /> Analytical Chernists Field Copy (3 of 3) <br /> 111il IIII IT IIIIIIII L 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> Ciient: San Joaquin County EHD <br /> 4JdrNcc• Qin Tni(min rn Fnv)mnmentil Hrilth lien <br /> z• Water Quality Division <br /> Attn:Michael Kith a 11 <br /> 1868 East Hazelton 1,1ve. v <br /> Stockton,CA 95205 3 =° <br /> Phone: (209)468-3444 Fax: m <br /> Contact Person: Michael Kith _ Lnd <br /> Project Name: _ V v) <br /> Purchase Order Number: _ O <br /> a <br /> Quote Number: o a F= <br /> a. w <br /> Sampler(s) 0 z > O Ca <br /> _ C <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: E z O a <br /> Lab Number: STK 3-179190 a tij <br /> o c O C7 <br /> amp Location Description Date Time y <br /> Num Sampled Sampled F n O rr <br /> l G DW Suh <br /> Remarks: Rclinyuixhed Date: I ime: Relinquished Date: Time: Relinquished Date: time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: I ime: <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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