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SR0084471_SSNL
EnvironmentalHealth
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WOODSON
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2600 - Land Use Program
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SR0084471_SSNL
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Entry Properties
Last modified
12/22/2021 1:16:29 PM
Creation date
12/22/2021 1:09:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084471
PE
2602
FACILITY_NAME
3212 E WOODSON RD
STREET_NUMBER
3212
Direction
E
STREET_NAME
WOODSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514531
ENTERED_DATE
11/12/2021 12:00:00 AM
SITE_LOCATION
3212 E WOODSON 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: STK2153920 (3016608) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATION: <br />Rush Analysis: ❑5 daysE14 daysE13 daysE]2 daysE]24 hours <br />Electronic Data Transfer: No <br />If yes, To: State Client Other <br />REMARKS: Sent From FGL Lab ST <br />""Run Travel Blank ONLY if Needed"" <br />0 <br />c� <br />_ <br />3Y � <br />_ <br />3 <br />o <br />o <br />o ° <br />z`A <br />v z <br />a <br />U <br />SAMPLING: <br />o= <br />0 <br />o <br />0 <br />a <br />,, <br />y I <br />o <br />Sampler(s) <br />Racco <br />;= <br />A <br />a <br />N <br />r <br />° <br />aPeter <br />x <br />v <br />o <br />E � <br />12 <br />V <br />° <br />e <br />_ <br />U3 <br />u <br />x <br />p <br />o <br />U <br />a <br />U <br />O <br />Z <br />e <br />au <br />, <br />a .. <br />z <br />CA <br />u <br />cL' 1C <br />U <br />y <br />G,t�y <br />'c 3�j <br />W <br />W <br />C �p <br />c <br />i5' <br />U <br />o <br />:3 <br />n <br />a <br />F3 3 <br />! <br />m <br />-s <br />El <br />0 <br />e <br />0 <br />°' 1X0 <br />Q- a <br />C <br />t <br />Sample <br />Location/Description <br />Date <br />Time <br />Number <br />Sampled <br />Sampled <br />F- <br />z <br />F'- ` <br />v c7 3 <br />m <br />i✓ <br />- <br />U <br />a <br />1 <br />Travel Blank <br />9/27/21 <br />1310 <br />G <br />LBW <br />X <br />2 <br />Domestic Well <br />9/27/21 <br />1310 <br />G <br />DW <br />X <br />CUSTODY: <br />Relinquished by: Date: � G ITime: Relinquished by: Date: Time: <br />Received by: Dat Time: Received by: Date: Time: <br />
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