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WP0043837
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043837
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Entry Properties
Last modified
2/22/2024 4:15:19 PM
Creation date
1/31/2024 1:42:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043837
PE
4378
STREET_NUMBER
21537
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01302010
ENTERED_DATE
9/23/2022 12:00:00 AM
SITE_LOCATION
21537 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> II�'IIIIIIIIII�IIIIII IIIIIIIIIIIIIIIIIIIIIIII 35731:04/03/2023 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 w <br /> Attn: Scott Sanglaang u <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> a� <br /> Phone: (209)468-3452 Fax: <br /> C7 Lt1 � <br /> Contact Person: Scott Sangalangco <br /> C7 w o <br /> Project Name: i 5-1 N• �PV /�J�,q t� �p t <br /> J"' <br /> Purchase Order Number: v�O > d a <br /> Quote Number: _ <br /> o E <br /> Sampler(s) � <br /> f, w z > O <br /> {� 0 <br /> a <br /> Sampling Fee: Pickup Fee: E ai —=�s O <br /> v o m P. <br /> Compositor Setup Date: / Time: / E c z p i w <br /> —— E o vai Q <br /> Lab Number: STK 3-17919 o N a a a0 <br /> Samp Date Time <br /> Num kation Description Sampled Sampled F' a° w m O w a <br /> 1 G DW 3 <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 /> 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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