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WP0044872
EnvironmentalHealth
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20996
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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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Special CHMN OF CUSTODY <br /> . - www.fglinc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> 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 i <br /> Attn: Scott Sanglaang y a I <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 =' <br /> a <br /> v <br /> Phone: (209)468-3452 Fax: x <br /> c7 w 3 <br /> Contact Person: Scott Sangalang '^ O20 <br /> �\ ` Q. U W o <br /> Project Name: � ��� ` LQ v: b <br /> Purchase Order Number: ) > a w <br /> Quote Number: ST 20160309-01 a ¢ ' <br /> a E F: F <br /> Sampler(s) E W Z Q <br /> o O n 0 <br /> * x <br /> o �a ?o w <br /> Sampling Fee: Pickup Fee: c [— <br /> n ° 0Lp vz E <br /> Compositor Setup Date:_/_/ Time:_/ E Z <br /> rn' E N rn o c z p q F <br /> Lab Number: STK 3-17919 o On a a. M U x x x <br /> o v F. CO a F II <br /> Samp Date Time y a '� o o <br /> Num led Sampled CL f c o v x v v <br /> Location Description Sam o ° ' N v n <br /> P P 2 [— a w cq O U c7 c� w=: LI. i1., <br /> I G DW <br /> I <br /> � I <br /> I I <br /> .j i. <br /> 'Relinquished Iuisited Date: te: Relinquished Date: 7Relinquished Dale: Time: <br /> ate: time: Received By: Date: Time: Received By. Date. Time. <br /> i I <br /> Cornorate 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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