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WP2501328 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FREDERICK
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23050
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4200/4300 - Liquid Waste/Water Well Permits
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WP2501328 (2)
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Entry Properties
Last modified
8/25/2026 9:05:57 AM
Creation date
3/10/2026 11:24:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP2501328
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
23050
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
22813029
CURRENT_STATUS
Closed - Complete
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
23050 S FREDERICK AVE RIPON 95366
Tags
EHD - Public
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FGL CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special wumfgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> IIIII I i I I IIIIIu III I II III I II B IIIi II 35730:11/01/2023 TEST DESCRB'1TON - 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 <br /> Attn:Scott Sanglaang 3 a <br /> 1868 Fast Haaelton Ave. 3 <br /> Stockton,CA 95205 iO <br /> 6 <br /> Phone: (209)468-3452 Fax: U w m x <br /> a <br /> Contact Person: Scott <br /> �S�,v,gffa��lang W P Ave, <br /> Project Name:7, r'V'ei:Aewt �5 Ave,Viii" o w & o <br /> n m n <br /> Purchase Order Number: i a W <br /> Quote:Number: ST 20160309-0I <br /> $ E F <br /> Sampler(s) U <br /> (, ti N O A <br /> 1C�' a O <br /> eo 5y ¢O 2 W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_`` /_j^�/� Time:_/_ E o, Z O m =z R O ,9—,z A E <br /> pr�J��N / v, E rn c A e Z iy q [— <br /> Lab Number: ,S K 3-17919 <br /> cT o <br /> A a <br /> Samp Date Time a o <br /> Num Sampled ULti Description Sam ledi $o U O N "w_: a. i% <br /> I w otcl %/yl b \L2G G DW 1 <br /> Remarks: Relinquished Date: Time: uished Dale: Time: Relinquished Date: Time: <br /> 8`gt�„c \t5C �Y) r7� IS 5 2 C612 <br /> R By: Date: Time: Received By: Dale: 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 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)5254172/All 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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