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AP2502124
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALPINE
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12190
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4200/4300 - Liquid Waste/Water Well Permits
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AP2502124
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Entry Properties
Last modified
1/28/2026 11:12:42 AM
Creation date
1/12/2026 10:37:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
AP2502124
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
12190
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06306027
CURRENT_STATUS
Closed - Issued
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
12190 N ALPINE RD LODI 95240
Tags
EHD - Public
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CHAIN of CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (I of 2) <br /> '111111 111il11111 11111IN I IN 35730:11/0112023 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 ii <br /> Am:Scott Sangla ing y. <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 iO <br /> 6 <br /> a <br /> Phone: (209)468-3452 Fax: O iv 3 H <br /> Contact Person: Scott Sya\�ngalang <br /> Pro1ect Name: \N � <br /> - - <br /> � <br /> Purchase Order Number: <br /> Quote Number: S I7 20160309-01 = a <br /> Y <br /> to E <br /> q <br /> Sampler(s) h rn O <br /> \ ;o o <br /> Sampling Fee: Pickup Fee: E 9' u 'o <br /> Compositor Setup Date: / / Time: / E o, 0 -S a $ = iO O 2� 2 E <br /> E ern o c Z .14 <br /> 22 <br /> lab Number: STK 3-17919 `o N c m U m _ <br /> 1_ <br /> Samp Dale Time <br /> u s ._ ._ _ E v E _ e a <br /> Location Description r o z m c N .0 <br /> Num Sampled Sampled 0 F a to m U-. U <br /> it <br /> ------------ <br /> '.e.inquithed Date: i <br /> -:1.W -J By: Date: Time <br /> — - - — - -- - - --- - - - — �j+ ZG--� --- L <br /> �/�2� �7�U <br /> Corporate Offices&Laboratory Offlce&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 /> 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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