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WP2400098 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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4 (STATE ROUTE 4)
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30444
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4200/4300 - Liquid Waste/Water Well Permits
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WP2400098 (2)
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Entry Properties
Last modified
6/4/2026 9:03:58 AM
Creation date
5/28/2026 3:32:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP2400098
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
30444
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230
APN
18744007
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
30444 E STATE ROUTE 4 FARMINGTON 95230
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 /> III III III III I II I III IIII IIIII ullull 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 a <br /> Attu:Scott Sanglaang y x <br /> 1868 East Hazelton Ave. w <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3452 Fax: <br /> r <br /> Contact Person: Scott Sangalang O Q <br /> Project Name: �, SI L411. (��� W,�l.. tto <br /> Purchase Order Number: > ¢ } a zj <br /> Quote Number: ST 20160309-01 w <br /> Sampler(s) o H Z r O iZ <br /> ao m <br /> Sampling Fee: Pickup Fee: o 9 rn a <br /> c 5 <br /> Compositor Setup Date: /_/_ Time: z_/_ E o, O a.9 <br /> v =z O Vi z A E <br /> z t7 F+ <br /> Lab Number: STK o f(p-7 / �p� 3-17919 0 a T N E m <br /> Samp Date Time a 9u 'u '-o o a a v <br /> Num Location Description Sampled Sam led °' '` c A ad ° N <br /> P P N F aIra mo V= UN <br /> ;22S G DW 1 q <br /> Remarks: Relinquished Date: Time: Relinquished ate: Time: Relinquished Date: Time: <br /> i <br /> 1n1 �Z4�`l�$ /gam 11az� GLS s za w :ss <br /> R�By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> ol-� 1,t4C 5/w/Z6 <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)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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