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WP0042247
EnvironmentalHealth
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4300 - Water Well Program
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WP0042247
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Entry Properties
Last modified
9/16/2022 11:34:06 AM
Creation date
3/30/2022 9:08:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042247
PE
4370
STREET_NUMBER
2868
Direction
N
STREET_NAME
BURGE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
089080690
ENTERED_DATE
7/7/2021 12:00:00 AM
SITE_LOCATION
2868 N BURGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Special Subcontract to www fgUne.aom <br /> Babcock'Laboratdries, Inc. Customer Copy (2 of 3) <br /> 1 35731:08/02/2021 I LS I DLSC'R'IP HO,\ Sec Re%6 se side hn C UIIIAItlCI.Preu-i N im%e an SA1111711119 mlurmauuu <br /> Client: Fruit Growers Laborator.Inc. i <br /> Address: FGL Environmental.Inc. 3; <br /> 853 Corporation St. <br /> Santa Paula,CA 93060-3005 <br /> Phone: Fax: 3 Q <br /> u <br /> Contact Person: °4 <br /> �qC7 W W <br /> Project Name: uka % -(3-17919) <br /> Purchase Order Number: C7 w 8 <br /> r <br /> Quote Number: <br /> o <br /> PG E U <br /> Sampler(s) <br /> Sampling Fee: Pickup Fee: <br /> .. - <br /> Time: I_ <br /> Compositor Setup Date:_I_1_ _ " z u a° w / <br /> w iL •� <br /> p <br /> Lab Number. c FT- a 0 Loi <br /> c :S O_ <br /> Samp Location Descripti n Date Time $ o E <br /> Num Sampled Sampled �` 0 as A O rn <br /> I G DW 3 ` <br /> v70v <br /> Remarks: Rel ittq ' d Date: Time: Relinquished Date: Time: Relinquished • <br /> Receiv By Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8 Laboratory Office A Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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).525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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