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WP0042599
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042599
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Entry Properties
Last modified
5/2/2023 4:27:43 PM
Creation date
3/16/2022 10:36:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042599
PE
4366
STREET_NUMBER
25280
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540003
ENTERED_DATE
9/29/2021 12:00:00 AM
SITE_LOCATION
25280 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL AGRICULTURAL Special Subcontract to www.fgllnc.com <br /> Analytical Chemists ftbcock Laboratories, Inc. Field Copy (3 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reberse side for Container,Preservative and Sampling information <br /> Client: Fruit Growers Laboratory,Inc. <br /> Address: FGL Environmental,Inc. <br /> 853 Corporation St. 0. <br /> Santa Paula,CA 93060-3005 <br /> u <br /> Phone: Fax: 3 y <br /> a <br /> Contact Person: <br /> Project Name: - (3-17919) a Ca <br /> ti <br /> Purchase Order Number: [7 W ='• � <br /> 3 h a a <br /> Quote Number: <br /> W Q N C4 M <br /> Sampler(s) <br /> V x m h O O <br /> a w„ <br /> Sampling Fee: Pickup Fee: <br /> Compositor Semp Date:_/_/_ Time:_!_ E " Z O x w <br /> a <br /> Lab Number: 'o �' a, r ,> <br /> 0 o v E- <br /> 0 <br /> a� U <br /> p a ._ .L <br /> Sam Location Description Date Time s g c �. 2 � o <br /> Num Sampled Sampled F a m of O rn a <br /> I G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office 8 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)7349473 <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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