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WP2400098
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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4 (STATE ROUTE 4)
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30444
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4200/4300 - Liquid Waste/Water Well Permits
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WP2400098
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Entry Properties
Last modified
6/18/2026 8:34:34 AM
Creation date
11/4/2025 8:16:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2400098
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
30444
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230
APN
18744007
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
30444 E STATE ROUTE 4 FARMINGTON 95230
Tags
EHD - Public
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CHAIn OF CUSTODY <br /> MiNUT111 I FIR OWN Special fgUnc.com <br /> Customer Copy (2 0 <br /> III�IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII 3;731:04/03/2023 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 <br /> Aum: Scott Sanglaang <br /> 1868 East Hazelton Ave. a <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3452 Fax: c7 Q ¢ x <br /> Contact Person: Scott Sangalang rn y o <br /> O W <br /> Project Name: 'n <br /> 3 a <br /> Purchase Order Number: y > Q ly. <br /> w <br /> Quote Number: o °" F <br /> Sampler(s) - U V) 5 0 <br /> O <br /> Sampling Fee: Pickup Fee: o a_L- , <br /> V <br /> 5 <br /> Compositor Setup Date:_/_/_ Time:_/_ � c z O G] <br /> Lab Number: STK �( / ` 3-17919 o w a a v a 0 0 <br /> Date Time A 0 -u s Q E <br /> Samp <br /> Location Description <br /> Num Sampled Sampled H a° w mc°O w a <br /> G DW 3 <br /> 1 <br /> Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Remarks: Relinquished <br /> Received By: Date: Time: Received By: <br /> 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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