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AP2502315
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chernists <br /> Customer Copy (2 of 2) <br /> II'�II I'�II�'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'll 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 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang A <br /> C7 W a <br /> Project Name: � , o� <br /> x 3 <br /> Purchase Order Number: W ¢ W <br /> Quote Number: ST 20160309-01 x <br /> Sampler(s) E w z � Ca <br /> 0 <br /> a0 <br /> * <br /> Sampling Fee: Pickup Fee: <br /> a o ra a N <br /> Compositor Setup Date:—/_ / Time: / E n Z O w = ° O z E <br /> -- = o oz a w <br /> 0 <br /> Lab Number: $TK 3-17919 0 a n U co x x <br /> Samp Date Time n 0 '� = c o x b b <br /> Num Location Description Sam led Sampled " ' ° `° °S <br /> P P F- a W 'O U!. 0, <br /> I 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 /> 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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