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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 /> ENVIRONMENTALSpecial Subcontract to www.fglinc.com <br /> Analytical Chernists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> 3;731:Oti.112',2'11_1 1 ESI DESC1111'i n > !: e ade 1,,r Contautei.Yrescl am and S4111pling uuurntaubn �_--- <br />+ Client: Fruit Growers Laboratory Inc. Ss <br /> ii <br /> Address: FGL Environmental.Inc. r <br /> t <br /> 853 Corporation St. 3 a <br /> Santa Paula,CA 93060-3005 <br />" H U <br /> Phone: Fax: Cl. <br /> a <br /> Contact Person: <br /> Project Name: pko% 1 _ (3-17919) Q 7 <br /> Purchase Order Number: W �' <br /> a T <br /> Quote Number: ,� a O <br /> rz <br /> Sampler(s) y/� $ w ii F: <br /> U CIO 0 ^ A <br /> 1 » 1 * � �a o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: z 0 <br /> a W <br /> Lab Number: 0 <br /> o _ O_ <br /> Samp Location Description Date Time <br /> Num Sampled Sampled E w m aC O v�v <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Receive By Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> l� <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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