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WP0041961
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041961
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Entry Properties
Last modified
12/21/2021 6:40:53 PM
Creation date
12/8/2021 9:55:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041961
PE
4366
STREET_NUMBER
14000
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104302
ENTERED_DATE
4/23/2021 12:00:00 AM
SITE_LOCATION
14000 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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-6 CHAIN OF CUSTODY <br /> EM Special Subcontract to <br /> www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Oabco4*- Laboratories, Inc., tusto* r Cop} (2 of <br /> Analytical Chemists r <br /> dir )r Conta+v -vative and Sarnplin- information <br /> 3_573�.08/02/j&l TEST DESCRIPTION See Re\verse side fur ner. PAS <br /> — — 4r, <br /> --lie a Fruit Growers Laboratory,Inc. <br /> Adis: FGL Environmental,Inc. <br /> 853 Corporation St. <br /> Santa Paula,CA 93060-3005yK <br /> PhoM. Fax: <br /> Contact Person: <br /> Project Name: - (3-17919) <br /> Purchase Order Number: <br /> W) <br /> 04 3 i;� <br /> Quote Number: U W <br /> > <br /> Sampler(s) E U <br /> rL W ii� V <br /> 5 z W <br /> 0 <br /> U <br /> W3 <br /> Sampling Fee: Pickup Fee: J�'0 <br /> — <br /> ,�s <br /> 0 7; <br /> 0 z P. <br /> Compositor Setup Date: Time: E 'a z 0 <br /> Ei <br /> co <br /> Lab Number: 4. M> <br /> 0 0 E, 0 <br /> ;am -g Time W <br /> p Date -0 E <br /> Num Location Description Sampled Sampled 0oG oG O3 C� <br /> CIO't <br /> G DW 3 <br /> ,emarks: Relinquished Date: lime: Relinquished Date: Time: Relinquished Date: 111 <br /> 1c: <br /> Received By: Date: lime: Received By: Date: Time: Received By: Date: Time: <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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