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SR0083900_SSNL
EnvironmentalHealth
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JACK TONE
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2600 - Land Use Program
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SR0083900_SSNL
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Entry Properties
Last modified
7/15/2021 9:26:16 AM
Creation date
7/15/2021 9:01:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083900
PE
2602
FACILITY_NAME
MORADA PRODUCE
STREET_NUMBER
500
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10504022
ENTERED_DATE
6/24/2021 12:00:00 AM
SITE_LOCATION
500 N JACK TONE RD
P_LOCATION
99
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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<br />CHAIN OF CUSTODY www.fglinc.com <br />Laboratory Copy (1 of 3) <br /> <br />-s <br />ENVIRONNFNIAL ACIRICULTM\L <br /> <br />Annual <br /> <br />iiilytical Chemists <br /> <br />1 11 1111111111 II 111111 _1111111_11 33797.06/01/2020 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information J130 <br />Client: Mora& Produce WS <br />Address: Morada Produce <br />PO Box 659 <br />Linden. CA. 95236 <br />Phone: (209)546-0426 Fax: (209)546-0427 <br />Contact Person: Skip Foppiano <br />Project Name: Water Quality Monitoring <br />Purchase Order Number: <br />Quote Number: Method of Sampling: Composite(C) Grab(G) Type of Sample **SEE REVERSE SIDE** -t <br />kj ( <br />; <br /><`'CD <br />E.'. <br />I <br />13 o o.. <br />C o Z <br />al Bacti Type: Other(0)S) Waste(W) Bacti Reason: • Repeat(RPT) Replace(RPL) Other(0) Specia Wet Chemistry-NO3-N 8oz(P) Consulting-WaterTrax Report Sampler(s) <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: __I_/__ Time: / <br />Lab Number: STK %-i-Z.C8 Ci 3-14876 <br />Samp <br />Num Location Description Date <br />Sampled <br />Time <br />Sampled <br />I Well #2 <br />Giqp. <br />, 0912 G DW El6ik. 1 X <br />Remarks: R i uishel a Date: Time: <br />6 4a121°Time: <br />Relinquished Date: <br />CPICt <br />1:-eeter53-: <br />Time: <br />li.1) i 4a) <br />Relinquished Date: Time: <br />(it S <br />eceived tr: <br />Lj/C9 Ciqi0 ) 340 <br />I Date: Time: <br />&111L° r-tto <br />Received By: Date: Time: <br />(Th),-,ic- co(int,20,2n n <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 9415 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
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