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AP2400486
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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AP2400486
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Entry Properties
Last modified
5/21/2026 3:49:32 PM
Creation date
11/18/2024 3:43:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
AP2400486
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
23380
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
Pending
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
23380 S AUSTIN RD RIPON 95366
Tags
EHD - Public
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CHmri or CusToDY <br /> FGL Special www.fgUnc.com <br /> ImryAnalytical Chemists Laboratory Copy (1 of 2) <br /> 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County MID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelmn Ave. 3 u <br /> Stockton,CA 95205 tO <br /> a <br /> a" <br /> Phone: (209)468-3452 Fax: <br /> nr� ��p <br /> Contact Person: Scott Sangalan�gl 4P ZH GIG L4 6 W y <br /> Project Name: j,.33 lfd s)`fb$k11 P.-4 r 1 ae'tJ v rwi� m v°i <br /> Purchase Order Number: U 3 rn n <br /> E W < h <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) o y Z <br /> 1?3 v1 eAt" lie RIC, O n K w ° <br /> 5 c a Q <br /> Sampling Fee: Pickup Fee: O i ° O •a rn O m <br /> c e <br /> Compositor Setup Date: ! / Time: / Z O x n =Z v O u Z 8 E <br /> --- -- vi E $" U m 5x iL£ 0 (- <br /> Lab Number: STK 3-17919 o ti v U 0 €co <br /> Samp Date Time sa o, '� ° -c c o a x a a <br /> Num Location Description Sampled Sampled F a° m m O 00 t7 N ii' ii 4ii <br /> �l•1, tj a� sll,3 U G DW 1 1,1 <br /> Remarks: Relinquished Date: Time: Relin te: Time: Relinquished Date: Time: <br /> S/13IZ6140 1`IBA ry IoL <br /> Receiv By: Date: Time: Recer ate: Time: Received By: Date: Time: <br /> 11K 6 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboretory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress 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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