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WP0043252
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043252
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Entry Properties
Last modified
7/11/2024 2:24:15 PM
Creation date
6/19/2024 2:17:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043252
PE
4378
STREET_NUMBER
1764
Direction
E
STREET_NAME
METTLER
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
05924013
ENTERED_DATE
4/29/2022 12:00:00 AM
SITE_LOCATION
1764 E METTLER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Special CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> www.fgUnc.com <br /> Analytical Chenfists Customer Copy (2 of 2) <br /> II��IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 a <br /> Attn: Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> 3 a <br /> Phone: (209)468-3452 Fax: w �' <br /> C7 � <br /> Contact Person: Scott Sangalang Q ¢ = a <br /> Project Name: <br /> rx v <br /> Purchase Order Number: a <br /> Quote Number: <br /> n w a E E- <br /> Sampler(s) 9�i. o vwi z i O <br /> V �e C 0. C <br /> Sampling Fee:R Pickup Fee: c ° o a <br /> a ,' o a: U <br /> Compositor Setup Date:_1_/ Time:_/_ E ❑ 2 O <br /> E E Ca <br /> o ,- <br /> Lab Number: STK 3-17919 o a a d O <br /> 0 <br /> Samp Location Description Date Time a o aQ o <br /> Num Sampled Sampled F a Gq m O w <br /> I G DW 3 <br /> :C C:; ! _.,:equi;`:• =gate: Time: I.elinquishe, Date: Time: Relinquished Date: Time: <br /> I - <br /> i.. By: L`a* Time: Receive;I i;v: Da.e: 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 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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