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SR0083690_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083690_SSNL
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Entry Properties
Last modified
2/10/2022 9:25:03 AM
Creation date
6/14/2021 2:35:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083690
PE
2602
STREET_NUMBER
4218
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00539031
ENTERED_DATE
5/10/2021 12:00:00 AM
SITE_LOCATION
4218 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Potable (P) Non-Potable (NP) Ag Water (AgW) Soil (S) Sludge (SLG) Solid (SID) Oil (0) 1 . Sampling Fee: <br />Compositor Setup Date: <br />Samp I <br />Num <br />1 .4.0^-irLy• <br />Pickup Fee: <br />Time: <br />Location Description Leaf Tissue (LT) Petiole Tissue (PET) Produce (PRD) (al CO <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 559/737.2399 <br />FAX: 559/734-8435 <br />Office & Laboratory <br />583 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA EtAP Certification No. 2670 <br />43 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: 805/392-2000 <br />FAX: 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Offi & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <br />CA ELAP Certification No. 1563 <br />ENVIRONMENTAL <br />CHAIN OF CUSTOD.. <br />AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: I <br />213) 2 C.P11 <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Composite (C) Grab ( slu <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fax: <br />Email Address: abbyglogelodi.com <br />Contact Person: Abby Racco <br />Project Name: RILT%"`•"(4A4-"-, *0-1 I. . 0.4)4 St-. <br />cA <br />(24 <br />Purchase Order Number: <br />Quote Number: <br />Sampler(s): <br />Date: Remarks Relinquished Date: Time: <br /> Nailt zri-t * _ 21-1. n <br />2, <br />Time: <br />lum
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