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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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CNM OF CUSTODY <br /> Special Subcontract to unuw.lglinc.com <br /> B icock Laboratories, Inc. Fiel+Copy (3 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container, Pr6servaeve and Sampling information <br /> 'tient: ?rust Growers Laboratory,Inc. ! k <br /> 4dress: GL Environmental,Inc. <br /> 53 Corporation St. a ' <br /> anta Paula,CA 93060-3005 <br /> 'h'one: Fax: <br /> v <br /> .ontact Person; * a x <br /> 'roject Name: ) - (3-17919) <br /> 'urcbase Order Number: C7 Lo r° <br /> a 3 <br /> )uote Number: > ¢ 04 0 <br /> � a <br /> iampler(s) Pq <br /> Z o A <br /> U * -. <br /> • a <br /> 79 <br /> iampling Fee: Pickup Fee: <br /> compositor Setup Date:_/,/_ Time: z O w <br /> e F. <br /> :Ab Number: c > <br /> a. <br /> .n O <br /> amp Location Description Date Time -S �', c s E <br /> Num Sampled Sampled F a M Mo rn a <br /> G DW 3 <br /> temarks: Relinquished / Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recei+ied By: / Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lando 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)7348435 <br />
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