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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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-49 aRk <br /> CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Atialytical Chemists Laboratory Copy (1 of 2) <br /> 35730:11101/2023 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 cc <br /> w <br /> Phone: (209)468-3452 Fax: w 3 <br /> QContact Person: Scott Sangalang / ` p <br /> Project Name:Z,5 3�f1 •_DC ve;'eu/w�Lpd L C7 Go kA N <br /> Purchase Order Number: 7 37 >. <br /> Quote Number: ST 20160309-01 <br /> -� ✓l a <br /> Samplers) 0 .2 <br /> o O -z to ¢O <br /> Sampling Fee: Pickup Fee: .9 c� �''� - a a <br /> rr M <br /> Compositor Setup Date: I I Time: I o, Z O a =Z 0 O z Ei <br /> w � ci O N U a x <br /> Lab Number: STK �� 3-17919 wv1%g O M <br /> 0 o H � 0 �= HI! <br /> Samp Date Time -5 o, a . , a <br /> Location Description >' 0 'E0 eq in <br /> Num Sampled Sampled ° U a. <br /> a� a: <br /> 0 c4 ia./-_. u, iw <br /> 1 Wela�N /0:,qo G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> AdgMm, I-S-7, I \QaiC-1 LS 111 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices R Laboratory Office Si Laboratory Office&Laboratory Office&Laborato Office&Laboratory_ <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Driv Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93050 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,C 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)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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