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WP2501377
Environmental Health - Public
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10499
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4200/4300 - Liquid Waste/Water Well Permits
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WP2501377
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Entry Properties
Last modified
3/4/2026 2:34:44 PM
Creation date
12/17/2025 2:22:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2501377
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
10499
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19333004
CURRENT_STATUS
In Review
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
10499 S MANTHEY RD LATHROP 95330
Tags
EHD - Public
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FGL Special CHAIN OF CUSTODY <br /> ENVIRONMENTALP www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> VIII I III' VIIIIIIII III i IIII I III I 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 /> Ann:Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 iO <br /> H <br /> a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott <br /> SSrangalang�,[ �{., {��, vQ"i Y 8 <br /> Project Name: 104—['1 S- t—`a'n.' 'e dt V wM m in <br /> l a 3 a <br /> Purchase Order Number: <br /> Quote Number: <br /> ST 20160309-01 <br /> SamPler(s)�,,Qf'11a <br /> F <br /> o o n�dn ?o <br /> Sampling Fee: Pickup Fee: <br /> 6 O -S l'N y <br /> Compositor Setup Date:_!_!_ Time:_/_ E o, Z O g =z v O v Z A E <br /> h E N vi U m e x 'p, O F <br /> Lab Number: STK 'D 3-17919 `o h a g E m ii o a n <br /> KIf E FII <br /> Samp Date Time o, 9 'E 'u v ._ a o <br /> o c o .2 S <br /> Num, Location Description Sampled Sampled '2 F a m A0 U= U <br /> 1 YVU� I �5 G DW I 1.1 �j v!JU I1 <br /> Remarks: Reliny ' hed t Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 61202V 0'M (-7 LS I 1 w 1vt 7 <br /> Received By: Date: Time: Rived Da . Time: <br /> Received By: Date: Time: <br /> -AcrI 15 J t S2 pW �.- t Zip lbl7 <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 /> t 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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