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WP0042450
EnvironmentalHealth
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4300 - Water Well Program
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WP0042450
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Entry Properties
Last modified
10/24/2022 2:35:13 PM
Creation date
7/26/2022 1:53:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042450
PE
4378
STREET_NUMBER
16340
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05113003
ENTERED_DATE
8/20/2021 12:00:00 AM
SITE_LOCATION
16340 N LOCUST TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAiri OF CUSTODY <br /> ENVIRONMENTAL FQL AGRICULTURAL Special Subcontract to www.fgUnc.com <br /> Analytical Chemists k <br /> Babcock Laboratories, Inc. 2 <br /> stomer Copy (2 of 3) <br /> 357348/02/2021 TEST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> Client: Fruit Growers Laboratory,Inc. ) <br /> Address: FGL Environmental,Inc. ! <br /> 853 Corporation St. <br /> Santa Paula,CA 93060-3005 E <br /> u <br /> 3 = <br /> Phone: Fax: e <br /> v <br /> Contact Person: r w 3 a <br /> Project Name: " GJ/7 _ (3-17919) e 6 <br /> Purchase Order Number: t7 w & <br /> Quote Number. v j m a O <br /> w ¢ N a <br /> Sampler(s) r/(!/ �(( E w °' m a D <br /> 1 1 <br /> y o <br /> Sampling Fee: Pickup Fee: 5 <br /> Compositor Setup Date:_/_/_ Time:_(_ ?; 0 o z Z w <br /> mji <br /> Lab Number: o w w m> <br /> o C F n � 007 <br /> Samp Date Time VS c ;, a E <br /> Num Location Description Sampled Sampled pT, $ y`° y`°p h v <br /> G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 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.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)7348435 <br />
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