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WP0041640
EnvironmentalHealth
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HARNEY
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5433
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041640
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Entry Properties
Last modified
7/20/2022 1:42:15 PM
Creation date
3/16/2022 10:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041640
PE
4366
STREET_NUMBER
5433
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06104027
ENTERED_DATE
1/26/2021 12:00:00 AM
SITE_LOCATION
5433 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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EG It <br /> CIMIN OF CUSTODY <br /> • Special Subcontraqt to Wuno glf e:NVI COM <br /> AnnlytiCal Babcock Laborator s� Inc. Customer Copy (2 of 3) <br /> ' 35731:08/02/2021 TEST DESCRIPT+I0M- See Reverse side for Container.Preservative and Sampling information 4 <br /> 7lient: Fruit Growers Laboratory,Iub. <br /> Nddress: FGL Environmental,Inc. <br /> 853 Corporation St. <br /> Santa Paula,CA 93050-3005 <br /> � U <br /> ?hone: Fax: 3 <br /> ss. <br /> a <br /> 2ontact Person: �-/� <br /> ?roject Name: r -(3-17919) <br /> ?urchase Order Number: a 3 CO '' <br /> Zuote Number: rx O <br /> Samplers - $, E �, v <br /> U 6P <br /> Q as <br /> Sampling Fee: Pickup Fee: a, 0 <br /> Compositor Setup Date: I l Time: I o. z O <br /> Lab Number: w a c c> <br /> 0 0 C7 <br /> ',amp Date Time 4 fl, '� I~ <br /> Num Location Description Sampled Sampled E', �° M Mo W' <br /> G DW 3 <br /> V1 Ll <br /> temarks: Relinquished Dat : Time: Relinquished Date: Time: Relinquished Date: Time: <br /> DU <br /> Recei ed B Date: Time- Received By: Date: Time: Received By: Date: Time: <br /> L <br /> D A 2'li fflD <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)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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