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AP2502315
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JELLYBEAN
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15124
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4200/4300 - Liquid Waste/Water Well Permits
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AP2502315
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Entry Properties
Last modified
2/3/2026 8:42:55 AM
Creation date
7/28/2025 10:39:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
AP2502315
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
15124
Direction
S
STREET_NAME
JELLYBEAN
STREET_TYPE
LN
City
OAKDALE
Zip
95361
APN
22913074
CURRENT_STATUS
Closed - Issued
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
15124 S JELLYBEAN LN OAKDALE 95361
Tags
EHD - Public
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CHA1PI OF CUSTODY <br /> `� AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> II III III 'III I I IIIII I 35730:11101/2023 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 ,.j <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. � <br /> Stockton,CA 95205 3 =° <br /> i <br /> Phone: (209)468-3452 Fax: x <br /> * � a <br /> Contact Person: Scott Sangalang Aftsoll I S m e <br /> a <br /> Project Name:IS% sCI��mi l! GO v h <br /> t <br /> a <br /> Purchase Order Number: > m a v] <br /> Quote Number: ST 20160309-01 a < E <br /> $ E F <br /> Sampler(s) U v y w <br /> ° <br /> v a < ^ S <br /> Sampling Fee: Pickup Fee: .5 ?� o , cF <br /> Compositor Setup Date:_2/ /j_ Time:_/_ o, z O ji `�', z O v Z m E <br /> 3 O(S H E ern o 5 z <br /> Lab Number: 3-17919 v N u T 6 O <br /> Samp Dale Time a H u a °1 o c E <br /> Num Location Description Sam led Sampled °J ' o A ,a'E o v <br /> P P . F a Rl M0 U UN <br /> 1 WeLI Vrectc4 N17/26 G DW 1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 11,;vz16 1aO6 4Q'212,6 PUU G-/-S /AA - /is <br /> Received By: Date: Time: R t By: Date: Time: Received By: Date: Time: <br /> -7 Jzt IS (� `� / x 2(v <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 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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