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WP0042050
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
4/1/2026 4:12:02 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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_ CI mri OF CUSTODY <br /> ENVIRONMENTALSpecialAnalytical Chemists www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> IIIIIIIIIIII�IIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIII 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 x <br /> 1868 East Hazelton Ave. y <br /> iv <br /> Stockton,CA 95205 <br /> 3 a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q <br /> Project Name: <br /> Purchase Order Number: U w <br /> 3 n <br /> w a � a <br /> Quote Number: x <br /> ¢ W P v ZD <br /> Sampler(s) o * v O <br /> a <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E <br /> — -— � E o� Ca <br /> Lab Number: STK 3-17919 0 a, a a p <br /> Samp Date Time -5 <br /> Num Location Description Sampled Sampled E= p° O w a <br /> 1 G DW 3 <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 9415 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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