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WP0043002
EnvironmentalHealth
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MCINTIRE
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25291
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043002
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Entry Properties
Last modified
2/5/2026 10:12:18 AM
Creation date
4/8/2024 4:55:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043002
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
25291
Direction
N
STREET_NAME
MCINTIRE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02312006
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
25291 N MCINTIRE RD CLEMENTS 95227-
Tags
EHD - Public
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ML Special — -CHAIN OF CUSTODY <br /> ENVIkONMENTAL . , P www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> 35730.11/01/2023 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> i��IlalllllBlll!!f!I!II!illih Veil iV�l liffl�fVi iiil lilt <br /> Client: San Joaquin County EHD <br /> Address: San:oaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Scott Sanglaang ; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 = <br /> y <br /> rx <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang O y o a <br /> Project Name: f^,_�,� �� ; � O W <br /> Purchase Order Number: U — <br /> w ¢ x <br /> Quote Number: ST 20160309-01 o x _ F <br /> Sampler(s) p O <br /> E-a Q 0 W <br /> Sampling Fee: Pickup Fee: a y a a <br /> o. y o -5 a'u v is cn <br /> Compositor Setup Date:_/_/_ Time:_/_ E Z O c o Z w O H <br /> b ti U v x <br /> Lab Number. STK 3-17919 0 a c c <br /> o y a0 Ea. <br /> Samp Date Time S C_ u z 6 o r_o <br /> Num Location Description Sampled Sampled ET n° O U U <br /> 1 G DW <br /> i <br /> <ett,ar c %Relittouis:ed e Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i i <br /> Q bb v��00Z ! trr _ZMS0 <br /> Rcce ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> i � f <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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