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WP0043053
Environmental Health - Public
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18163
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043053
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Entry Properties
Last modified
4/14/2026 8:37:55 AM
Creation date
6/10/2022 1:52:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043053
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
18163
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24538026
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
18163 S CARROLTON RD RIPON 95366-
Tags
EHD - Public
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Special CHAIN OF CUSTODY <br /> ENVIRONMENTALAGRICULTURAL w�a •fgUnc.com <br /> Customer Copy (2 0 2� <br /> IIIIIII IIIII IIIII II IIIII IIIIII IIIII IIIIII�III IIIII IIII IIII Analytical Chemists 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 /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 fl <br /> Phone: (209)468-3452 Fax: <br /> ij w 3 <br /> A � v <br /> Contact Person: Scott Sangalang <br /> Project Name: F'r i w a o x <br /> 4 M cv) v _. <br /> Purchase Order Number: t j w 3 <br /> Quote Number: ST 20160309-01 o a <br /> a E� E= E- <br /> Sampler(U) x <br /> c ca Q0 W <br /> Sampling Fee: Pickup Feetn <br /> : <br /> "_z z vcw 5z q Ho � au <br /> Compositor Setup Date: Time: z O c oV w <br /> x x x <br /> Lab Number: STK 3-17919 0 a ❑ a <br /> et H II <br /> amp 40. <br /> Date Time � o U 0. <br /> a o C o v x �—�, v <br /> Num Location Description Sampled Sampled E- a° m m O U= C7 N w a i,s iy <br /> 1 G DW 1 L l <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: 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 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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