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WP0041637
EnvironmentalHealth
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CHERRY GLEN
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21711
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4300 - Water Well Program
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WP0041637
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Entry Properties
Last modified
6/24/2022 8:48:26 AM
Creation date
6/16/2022 10:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041637
PE
4366
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
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.fgUncxom <br /> Babcock LaboratoriesRInc. Customer Copy (2 of 3) ' <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information; <br /> lient: Fruit Growers Laboratory,.iac. <br /> ddress: FGL Environmental,Inc. <br /> 853 Corporation St. ¢ " <br /> Santa Paula,CA 93060-3005 #� <br /> ti � <br /> hone: Fax:! $ g <br /> 'ontact Person: 7� W <br /> roject Name: j - (3-17919) Q <br /> urchase Order Number: O co <br /> cu °= <br /> iuote Number: �{ w O <br /> ;ampler(s) i wly I rw p, 5 U <br /> o h > O <br /> U <br /> �a $ <br /> ;ampling Fee: Pickup Fee: a' <br /> � � a <br /> :ompositor Setup Date:_/_/_ Time:_/_ a z O Q W <br /> .ab Number: c �> <br /> c C °' H a <br /> am Date Time �'. 'n 'a O— <br /> r <br /> Location ation Description S m led Sampled F y° m o v7i"v <br /> 1 <br /> '/ 1l72 G DW 3 <br /> temarks: Rel in 'shed ate: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rece d B • ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Qfflce&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)525-4172/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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