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WP0045141 (2)
EnvironmentalHealth
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12 (STATE ROUTE 12)
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10943
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045141 (2)
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Entry Properties
Last modified
11/5/2026 8:40:47 AM
Creation date
10/12/2026 7:51:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0045141
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
10943
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05115059
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
10943 E STATE ROUTE 12 LODI 95240-
Tags
EHD - Public
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CHAIN OF USTODY <br /> Special www.rgUnc.com <br /> N11'al tical Chemists <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 EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-3452 Fax: .. <br /> ami <br /> Contact Person: Scott Sangalang <br /> o <br /> Project Name: w �' tn Cc <br /> j �o°��� mow`'` �-�- & cc <br /> Purchase Order Number: 1 U w 3CL <br /> V�.� �`' w ¢ CIO <br /> � x <br /> Quote Number: H 1% <br /> Sampler(s) E w Z 0 <br /> Sampling Fee: Pickup Fee: 5 <br /> c a <br /> Compositor Setup Date: I l Time: I a Z p U <br /> as <br /> cc <br /> a A <br /> Lab Number: STK 3-17919 0 W2 aCC <br /> "*p <br /> Samp Date Time -S ;, <br /> Num Location Description Sainp!V Sampled E', a as as O w <br /> 1 4i�V\, ���� G DW 3 <br /> Remarks: Relinquished Z a Time: Relinquished D e: Time: Relinquished Date: Time: <br /> fit) <br /> Rece' y: D te: Time: Received By: Date: Time: freceived By: Date: Time: <br /> UA4%v,- �2 <br /> Corporate Offices&Laboratory Office&Laboratory Office 8i Laboratory Office Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite 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)7349473 <br /> 4 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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