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SR0084990_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0084990_SSNL
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Entry Properties
Last modified
3/23/2022 2:12:54 PM
Creation date
3/23/2022 2:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084990
PE
2602
STREET_NUMBER
12622
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06324007
ENTERED_DATE
3/11/2022 12:00:00 AM
SITE_LOCATION
12622 E HARNEY LN
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 930_60 <br />Phone: 05 392-2000 r Fax: (805)525-4172 <br />Project: STK2231242 (3016608) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATION: <br />Rush Analysis: ❑5 daysE14 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 />M <br />'Run TB ONLY if Needed' <br />_ <br />V <br />° <br />— <br />3 <br />O <br />o <br />x0 <br />z <br />Q <br />a <br />SAMPLING: <br />Sampler(s) <br />a <br />c G <br />Peter Racco <br />Q <br />g <br />o <br />o` <br />3 <br />o <br />a <br />o <br />v <br />N <br />a. <br />a <br />N <br />o <br />a <br />e <br />o ta <br />(n <br />my <br />Y <br />is, m <br />r <br />A <br />° <br />U� <br />a <br />�� <br />c7 <br />��. <br />Q <br />LU <br />'� <br />aZ <br />om u <br />om° <br />V <br />rr�Yc <br />to <br />c <br />co <br />Sample <br />L ocation/DescripGon <br />Date <br />Time <br />T <br />° <br />z <br />�F' <br />�3r-.. <br />t? <br />m <br />m <br />`✓ <br />S <br />a <br />Number <br />Sampled <br />Samplcd <br />E- <br />h <br />in <br />in <br />cn d f- <br />a <br />1 <br />Travel Blank <br />1/24/22 <br />1200 <br />G <br />X <br />2 <br />Domestic Well <br />1/24/22 <br />1200 <br />G <br />DW <br />X <br />LEI <br />IJ <br />CUSTODY: <br />Relinquished by: Date: me: Relinquished by: Date: Time: <br />Received by: Dater mime: Received by: Date: Time: <br />
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