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WP0041603
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041603
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Entry Properties
Last modified
12/21/2021 2:49:03 PM
Creation date
12/8/2021 9:53:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041603
PE
4366
STREET_NUMBER
25753
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02103033
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
25753 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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Special Subcontract to CHAIN OF CUSTODY <br /> S <br /> ENVIRONMENTAL-AGRICULTURAL P www,fglinc.com <br /> Analytical Chemists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> 3:731:08/022021 TEST DESS RIP7 MA - See Reverse silo tier C•mtainer. Preservative and Sampling int,�nn_w"ii <br /> ;Z <br /> -lient: Fruit Growers Laborator\, Inc. o <br /> <} <br /> address: FGL,Environmental.Inr•. <br /> 853 Corporation St. <br /> Santa(Paula,CA 93060005 <br /> of <br /> ?hone: ,Fax: - <br /> S �N <br /> 3ontact Person: <br /> ?roject Name: �'S �`�T _ (3-17919) A <br /> ?urchase Order Number: c7 w <br /> ¢ a c <br /> 2uote Number: ,q O <br /> w o. <br /> Sampler(s) $ w a U <br /> H <br /> . V * .2 rn PG <br /> Sampling Fee: Pickup Fee: c a .o <br />' Compositor Setup Date:_/_/_ Time:_/_ a z O x fl w <br /> e' ti E p cr r <br /> Lab Number: o w a <br /> 0 <br /> a <br /> ;amp Location Description Date Time c o $ ,a <br /> Num Sampled Sampled F a co cq O v�v <br /> I G DW 3 <br /> Zemarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Tirne: <br /> Ic� <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> I t „ 1016!1-�9 1 1-1 r <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 <br />
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