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AP2401108
EnvironmentalHealth
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11425
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4200/4300 - Liquid Waste/Water Well Permits
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AP2401108
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Entry Properties
Last modified
1/9/2025 3:00:31 PM
Creation date
11/22/2024 11:36:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
AP2401108
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
11425
Direction
E
STREET_NAME
BENNDORF
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
Closed - Issued
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
11425 E BENNDORF RD ACAMPO 95220
Tags
EHD - Public
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UUL Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL -- AGRICULTURAL = P www.fgUnc.com <br /> Analytical Chemists <br /> Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIII�IIII'I1$IIIIIIIlull IIIIIININ 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 w <br /> Attn:Scott Sanglaang �, x <br /> 1868 East Hazelton Ave. ti <br /> Cd <br /> Stockton,CA 95205 3 a <br /> v <br /> � a � <br /> Phone: (209)468-3452 Fax: w 3 <br /> Contact Person: Scott Sangalang O <br /> Project Name: <br /> i7�� /K <br /> Purchase Order Number: U w 3 — <br /> :: W Q ° <br /> Quote Number: ST 20160309-01 <br /> z 0 Q <br /> SamplerE W s) o ; a O <br /> o o ca ¢0 8 w <br /> Sampling Fee: Pickup Fee: <br /> c o s eY'v v -4 y M o z u v <br /> Compositor Setup Date:_/_/_ Time:_/_ -& <br /> z O = o z c Oz Q E_ <br /> o C <br /> w x <br /> " N x x <br /> Lab Number: STK 3-17919 0 w a v E a <br /> 0 o v E. ax H II <br /> Samp Location Description Date Time a o � -60 ,o a,n " °= <br /> Num Sampled Sampled E a co w O V C7 ca w =: iw s <br /> l G DW 1 1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: 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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