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WP0040996 (2)
EnvironmentalHealth
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HANSEN
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23403
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040996 (2)
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Entry Properties
Last modified
8/19/2026 8:47:20 AM
Creation date
4/30/2026 11:52:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0040996
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
23403
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
20939028
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
23403 S HANSEN RD TRACY 95304-
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL . AGRICULTURAL <br /> -Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EKD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang .� <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3452 Fax: * ^ <br /> aG <br /> Contact Person: Scott Sangalang 00 <br /> WQ <br /> Project Name: •�' .v a Lit ° x <br /> �. oG Cc <br /> Purchase-Order-Numbe. td-w— 3CL - - -- - — --- - --- <br /> Quote Number: a ^ <br /> Sampler(s) Q `` E w <br /> pa"O. at <br /> ao a a O <br /> Sampling Fee: Pickup Fee: a.n U <br /> Compositor Setup Date: I I Time: / E c z p a aA <br /> Lab Number: STK / 3-17919 0 a M y.. '4 O <br /> > <br /> Samp Location Description Date Time o ¢�c <br /> Num Sampled SSampledF., a w m O w ,r <br /> I oose6 8. J G DW 3 <br /> .Remarks: Relinquished Date: Time: Re' uished ' are: Time: Relinquished Date: Time: <br /> Elk -7[Y 17 U 16 <br /> Rec ' d By: Date: Time: Received By: ' Date: Time: Received By: Date: Time: <br /> a9/a� ///-I /W/�O* 1-70-e) <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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