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WP0044872
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044872
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Entry Properties
Last modified
2/5/2026 10:12:18 AM
Creation date
1/12/2026 11:13:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044872
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
20996
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02305015
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
20996 E ACAMPO RD CLEMENTS 95227-
Tags
EHD - Public
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CrHmri OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> IfllI III i� III I IIIII�III I 'I IIIII 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 <br /> 1868 East Hazelmn Ave. <br /> 0 <br /> Stockton,CA 95205 3 c <br /> a <br /> Phone: (209)468-3452 Fax: � t*y m y <br /> Contact Person: Scott Sangalang <br /> Project Name:"�C�D.�b <br /> \\ a 3 a <br /> Purchase Order Number: U > Y z <br /> Quote Number: z <br /> Sampler(s) <br /> ��,.� o ai z00 <br /> \7uJ�V' U a <br /> Sampling Fee: Pickup Fee: S 4 �' a <br /> c <br /> -- <br /> Compositor Setup Dam: /_/_ Time:_/_ E -az O c m <br /> $T$ 3 <br /> p(�3�af'T� -0 c. a <br /> E 6 ym � <br /> Lab Number. -17919 o r% u.. -4 p <br /> c `o = <br /> Samp Dam Times <br /> Num Location Description Sampled Sampled F a m In 0 w e <br /> 1 W ` � Oa G DW 3 <br /> Remarks: Relinquished 2�„pa_tg: Time: Re' q shed 7 Dam: Time: Relinquished Dam: Time: <br /> tioU. `�5 o?p�ara� r7� cf <br /> Re ///yyD�Ia��te: 42Time: Received By: /�/ Dam: Time: Received By: Date: Time: <br /> /„cxlo ✓05 o D Gvo-?& <br /> Corporate Offices&Laboratory Office&Laboratory Office&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 /> 9 Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> 1 Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734.9473 <br /> lJ/ 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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