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WP0042339
EnvironmentalHealth
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BUSHKA
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4300 - Water Well Program
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WP0042339
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Entry Properties
Last modified
9/19/2022 4:14:12 PM
Creation date
2/17/2022 2:39:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042339
PE
4370
STREET_NUMBER
20911
Direction
E
STREET_NAME
BUSHKA
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20509022
ENTERED_DATE
7/26/2021 12:00:00 AM
SITE_LOCATION
20911 E BUSHKA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
标签
EHD - Public
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Special Subcontract to CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> p www.fgUnc.com <br /> Analytical Chemists Babcock Laboratories, Inc. )Customer Copy (2 of 3) <br /> F. <br /> 3573.1:08/02/2021 TEST DESCRIPTION See Reverse side for Cont.1iner,Preservative and Sampling information <br /> iClient: Frait Growers Laboratory,Inc. <br /> Address: FGL Environmental,Inc. <br /> 853 Corporation St. a <br /> Santa Paula,CA 93060-3005 3 °� <br /> h U <br /> Phone: Fax: 3 0 <br /> Contact Person: -�f <br /> Project Name: C�( (3-17919) A °' <br /> � Q U <br /> Purchase Order Number: O w x <br /> Quote Number: <br /> a <br /> Sampler(s) <br /> o vWWi z T o A <br /> 0 L -Vx <br /> Sampling Fee: Pickup Fee: a <br /> Compositor Setup Date:_/ / Time: E a? z° <br /> c Q <br /> � U <br /> O <br /> Lab Number: o w w T j <br /> C' <br /> O a? F P4 C7 <br /> Samp Date Time <br /> p <br /> Location Description <br /> Num Sampled Sampled � E p, pq pq O <br /> I G DW 3 <br /> a <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: 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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