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WP0042050
EnvironmentalHealth
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JACK TONE
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13012
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042050
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Entry Properties
Last modified
3/4/2026 2:45:58 PM
Creation date
2/10/2025 9:17:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042050
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
13012
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06502032
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
13012 N JACK TONE RD LODI 95240-
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytirzil Chemists Laboratory Copy (1 of 2) <br /> IIII�I III I III IIIIIII IIIII II I I IIII IIII I 35730:11101/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County END <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division z a <br /> Arm:Scott Sanglaang 6 <br /> 1868 East Hazelmn Ave. <br /> Stockton,CA 95205 3 a <br /> a" <br /> Phone: (209)468-3452 Fax: rz <br /> Contact Person: Scotts�S//a�ingalang <br /> Project Name: % y h <br /> Purchase Order Number: 'V"ny Owlj c <br /> Quote Number: ST 20160309-01 a <br /> 6 <br /> Sampler(s) c h Za0 A <br /> % ¢0 °x <br /> Sampling Fee: Pickup Fee: c a a - aF <br /> Compositor Semp Date:_/_/_ Time:_/_ E c z° O a o, =Z v O 0 z A E <br /> rn a ai H� U w 5 5 �?'� F <br /> Lab Number: STK 3 3S 3-17919 `oo o v F tX E�• a E= I rs rs <br /> Samp Date Time y y � '� u ='c c c o :o :o <br /> Num Location Description Sampled Sampled '` ° A too ° <br /> G DW <br /> 1t <br /> Remarks: Relinquished ^`` Date- Time: Relinquished Date: Time: Relinquished Date: Time: <br /> W Received By: Da`te-`:✓ Time: Received By: Date: Time: Xi,ed ate: Time: <br /> jS 2 ZL 2(P /-, <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress Drive,Suite D 9411 W.Goshen Avenue <br /> n 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)5254172/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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