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WP0044074
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044074
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Entry Properties
Last modified
6/17/2024 2:13:33 PM
Creation date
2/12/2024 10:40:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044074
PE
4378
STREET_NUMBER
18948
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01504046
ENTERED_DATE
11/17/2022 12:00:00 AM
SITE_LOCATION
18948 N DAVIS 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 WWW.fgUnc.COM <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIII�I'IIIIIIII��IIIIIIIIIIIIIIII'IIIIIIIIIIII 35730:01/01/2024 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: Scott Sanglaang cG <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205C. <br /> 3 —° <br /> 2 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang �- Q <br /> Project Name: l C7 �w„ v° <br /> Purchase Order Number: / 1� U w n „ W <br /> Quote Number: ST 20160309.6 y 7 n <br /> � 5 <br /> E F- <br /> Sampler(s) (� o w <br /> Z T Ca <br /> �1 � t�.• j 11) U x a, O G .a <br /> O w <br /> Sampling Fee: Pickup Fee: S " v o= a"" Q E" <br /> O U y N (n i <br /> Compositor Setup Date: / / Time: / E n z p <br /> ti Z L O °—„ Z E <br /> E z x w Q H <br /> Lab Number: STK 3-17919 0 a v <br /> a x x <br /> a •o � F- rx� o � H II <br /> Samp Date Time -S o s `=o o <br /> Location Description v , o , o N 2 0 a, <br /> Num Sampled Sampled a w w O U O N u. _: Ii w <br /> I G DW I 1,1 <br /> L— <br /> i <br /> rR <br /> rks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Ii <br /> Received By: Date: Time: Received By: Date: Time: iReceived 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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