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WP0042271
EnvironmentalHealth
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COLLIER
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10897
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042271
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Entry Properties
Last modified
12/27/2021 2:44:27 PM
Creation date
10/27/2021 1:32:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042271
PE
4378
STREET_NUMBER
10897
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00714029
ENTERED_DATE
7/12/2021 12:00:00 AM
SITE_LOCATION
10897 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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Client Name: FGL Environmental, Inc. <br />Contact: Cindy Aguirre <br />Address: 853 Corporation Street <br />Santa Paula, CA 93060 <br />Report. Date: 28 -Sep -2021 <br />000 <br />BABCOCK Laboratories, Inc. <br />The Standard o/ E.rcellence fm Over 100 Years <br />Analytical Report: Page 5 of 5 <br />Project Name: No Project <br />Project Number: 2153048 - (3-17919) <br />Work Order Number: C111576 <br />Received on Ice (Y/N): Yes Temp: 8 °C <br />Special Subcontract to CHAIN OF CUSTODY <br />wunu.fgitnc.com <br />Babcock Laboratories, Inc. Laboratory Copy ( t of 3) <br />Comande Offim A LabMtory <br />3571 L•U5;02/?U>I <br />TFRT DFSCRIPTION See Reverse +ilk lire Conutmr, l'teservuuvo and Saut ling iu:mnwwfl <br />CLem: Fndt Growers Laboralorr. luu <br />. <br />office A Laboratory <br />853 Corprxat'm Street <br />'1500 Stagecoach Road <br />563 E. Lando <br />3442 Empresa Dd ,R. Suite 0 <br />9415 W. Goshen Meme <br />Saha Paula. CA 9306^. <br />Stockton, CA 95215 <br />Guco, CA 959'16 <br />Acd g: FGL Envimmnetral. Inc. <br />951 Cerpnraron M. <br />Vbal a. CA 93291 <br />Plane. (W5) 392-2000 <br />Platte. (209) 942.0182 <br />Phone: (530) 343-5818 <br />Phone. (805170-2940 <br />Plane: (SM) 734-9473 <br />Env ;ax; (805) 515-41721 Ag Fax. (805) 3922-1063 <br />Fnx (209)942-0423 <br />-C C�a 351 <br />Sams Note. CA 91050 71x!5 <br />Fein (SW) 794-8435 <br />c <br />u <br />a. <br />Phr".: Pu: <br />3 <br />On <br />IceO <br />NO YES <br />C'caWI Fawn: <br />Project Name: <br />Sd <br />pies Int <br />10 YES No <br />q!/6 -(3-17919) <br />E <br />Pmchm Order NumM;r. <br />u <br />Qwe Number <br />E <br />m <br />a <br />Sampler(s) <br />11kseeinl teed <br />SaMliog Fors: Mckup Pee: <br />Ccmpusilor Setup 0atr: _!_r_ Time: i <br />j] <br />1S <br />8 F <br />A <br />a <br />� i <br />`• 2 <br />w YY <br />Leh Number. <br />8xatp LDare Tic <br />Nal r..atun Lkwnpllun Sungrled sonlpled <br />1 0749 <br />G <br />Ow <br />7 <br />C1I1576 <br />- <br />Rc'd:09114/2021 12:10 0 <br />r <br />JLH <br />ida:d Orae: Tim: <br />Relinquished Dale: 'rine:: <br />RehrymstwJ Data Tim, <br />X13 I70 <br />C-41.S Y;14lt1 i� p <br />R=ind By: Date: Lane, <br />711,5 50 <br />Received Bl: Date: Tune: <br />Reeerved 8V: Dute: I'luic: <br />-Val A' 9/'qla <br />Comande Offim A LabMtory <br />Office & Laboratory <br />0111ce A Labwory <br />office & Laboratory <br />office A Laboratory <br />853 Corprxat'm Street <br />'1500 Stagecoach Road <br />563 E. Lando <br />3442 Empresa Dd ,R. Suite 0 <br />9415 W. Goshen Meme <br />Saha Paula. CA 9306^. <br />Stockton, CA 95215 <br />Guco, CA 959'16 <br />San Luis Oblw. CA 93401 <br />Vbal a. CA 93291 <br />Plane. (W5) 392-2000 <br />Platte. (209) 942.0182 <br />Phone: (530) 343-5818 <br />Phone. (805170-2940 <br />Plane: (SM) 734-9473 <br />Env ;ax; (805) 515-41721 Ag Fax. (805) 3922-1063 <br />Fnx (209)942-0423 <br />Fax: (5301343-3807 <br />Fux: (805) 783.2912 <br />Fein (SW) 794-8435 <br />4Q, <br />mailing location P (961) 653.3351 CA ELAP No. 2698 <br />P.Q Box 432 6100 Quail Valley Court F (951) 653-1662 EPA No. CA00102 <br />Riverside, CA 92502-0432 Riverside, CA 92507.0704 www.babcocklabs.com NELAP No. OR4035 <br />LACSD No. 10119 <br />
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