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WP0040961
EnvironmentalHealth
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4300 - Water Well Program
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WP0040961
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Entry Properties
Last modified
4/27/2022 10:56:53 AM
Creation date
4/27/2022 10:53:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040961
PE
4380
STREET_NUMBER
18933
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01304010
ENTERED_DATE
7/10/2020 12:00:00 AM
SITE_LOCATION
18933 N DE VRIES RD
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 93060 <br />Phone: _ (805) 392-2000 Fax: (805) 525-4172 <br />Project: STK2233978 (3017919) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATaON: <br />Rush Analysis: ❑5 days LJ4 days ❑3 days ❑2 days ❑24 hours <br />Electronic Data Transfer: No <br />If yes, To: State Client Other <br />REMARKS: Sent From FGL Lab ST <br />Q <br />0 <br />Z <br />A <br />x0 <br />w <br />o <br />z <br />V 5 <br />SAMPLING: <br />Sampler(s) <br />s <br />a <br />L <br />00 <br />= v i <br />N <br />i; <br />�, <br />�. <br />o <br />~ x <br />Naseem Ahmed <br />a� <br />0 <br />aC-11 <br />A 0 <br />T <br />m <br />U <br />U <br />°e^° <br />5 <br />5 <br />o <br />z <br />e <br />mo <br />O.'^^. <br />z <br />V) <br />>+ <br />g <br />e <br />a <br />U <br />y <br />y^ <br />:, <br />i -n <br />c as <br />? <br />Zlip <br />y <br />M �? <br />o <br />a a <br />x <br />S= Sam le <br />Location/Description <br />Date <br />Time <br />Number <br />Sampled <br />Sampled <br />�— <br />- �- <br />y c� <br />.... <br />�- <br />J2 .,.. <br />y F- <br />U <br />a <br />1 <br />Wellhead <br />3/23/22 <br />1133 <br />G <br />DW <br />X <br />CUSTODY: _ 1.7� <br />Relinquished by: )ate: j� Time:1) Relinquished by: Date: Time: <br />Received by: Data ' �LTime: �J Received by: Date: Time: <br />
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