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SR0084582_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0084582_SSNL
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Entry Properties
Last modified
12/14/2021 4:56:28 PM
Creation date
12/14/2021 4:50:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084582
PE
2602
STREET_NUMBER
23702
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
C
ENTERED_DATE
12/7/2021 12:00:00 AM
SITE_LOCATION
23702 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Babcock Laboratories, Inc. <br />Subcontract Chain of Custody <br />CLIENT DETAILS: <br />Client: FGL Environmental <br />Address:. 853 Corporation Street <br />Santa Paula, CA 93060 <br />Phone: (805)392-2000 Fax: (805) 525-4172 <br />Project: STK2155152 (3016608) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATION: <br />Rush Analysis: ❑5 days ❑4 days ❑3 daysE]2 days ❑24 hours <br />Electronic Data Transfer: No <br />If yes, To: State Client Other <br />REMARKS: Sent From FGL Lab ST <br />o <br />***Run TB ONLY if Needed*** <br />3 <br />z <br />tv z <br />1� <br />SAMPLING: <br />u <br />� <br />O, <br />I <br />oS <br />Sampler(s) <br />Peter Racco <br />a <br />u <br />o9 <br />A o <br />0 <br />0 <br />z <br />a <br />a <br />U <br />� <br />o!a <br />n <br />° <br />ocx� <br />R <br />,�� <br />d <br />!n <br />�� <br />p� <br />off <br />pm I <br />r <br />.Q <br />o <br />o <br />z <br />U-4 <br />�� <br />gx� <br />a <br />o <br />m m <br />e3 <br />�3 <br />F� <br />v�"ti <br />0 <br />U <br />Z <br />Q <br />a <br />c <br />b <br />a <br />•a <br />c �o <br />a o <br />_ <br />H <br />oma' <br />U <br />n <br />Sample <br />Location/Description <br />Date <br />Time <br />Number <br />Sampled <br />Sampled <br />t- <br />F <br />a <br />`✓ <br />m <br />-- <br />a <br />a <br />1 <br />Travel Blank <br />10/19/21 <br />1250 <br />G <br />LBW <br />X <br />2 <br />Domestic Well <br />10/19/21.1250 <br />G <br />DW <br />X <br />CUSTODY: <br />Relinquished by: Date: 0/9 coal Time: 170-0 Relinquished by: Date: Time: <br />Received by: Dater 1tyLf Time: /7d "D Received by: Date: Time: <br />
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