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WP0043537
Environmental Health - Public
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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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WP0043537
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Entry Properties
Last modified
6/26/2024 11:12:26 AM
Creation date
6/5/2024 2:19:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043537
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\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> 4- ENVIRONMENTAL FGL A(G-JRICULTU RAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIII�IIII�II'IIIIII,�`I`NI�I�III�lIIIIIII'IIII�II 35730:11/01/2023 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 <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> v <br /> Stockton,CA 95205 3 <br /> c. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang <br /> Project Name: t o `S1'LV'z O W o <br /> Purchase Order Number: 7 > 3 W <br /> Quote Number: ST 20160309=01 o a ¢ fz' <br /> E F <br /> Samplers) U on 00 a O <br /> 16AA,1—Wt fiJ o o •� ¢p w <br /> Sampling Fee: Pickup Fee: 5 <br /> ° v o •� a � ;�N M O v <br /> Compositor Setup Date: / / Time:—/— E z p ° _Z O <br /> --- = a o z LZ <br /> Lab Number: STK 3-17919 0 � a <br /> 9 aH0o a <br /> SamDate Time ad� Uo°a0N �v xa0E <br /> Location Description <br /> Num Sampled Sampled M 0 U- 0N' <br /> tFb xII uxbn. <br /> u <br /> 1 G DW <br /> !Re lin_IuiFh C Date: Time: !Relinquished Date: Time: i <br /> 4 dr- <br /> wale e! ceivzI By: _— i> c; i --: IRe:eiv_d 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 9411 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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