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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
Scanner
SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTALFUL <br /> I Special Subcontract to www.fglinc.com <br /> Analytical Chemists Babcock Laboratorij�S, Inc. Field Copy (3 of 3) <br /> .t 35731:08/02/2021 TEST DESCRIPI' N - 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 93060-3005tx <br /> tx u <br /> Phone: Fax: <br /> , v <br /> Contact Person: v in ti x <br /> Project Name: '� i - (3-17919) 2 ta, <br /> Purchase Order Number: c7 w <br /> N W H w T <br /> Quote Number: U m m S c <br /> ¢ h x O <br /> a <br /> Sampler(s) ,' j g. w a v F' m <br /> U ti <br /> 0 <br /> Sampling Fee: Pickup Fee: 5 a O N ^ <br /> Compositor Setup Date:_/_/_ Time:_/_ E v 0Q x w <br /> a <br /> rn E y h <br /> Lab Number: `o r%, a r ,�,.. m> <br /> 0 0 = F C D C7 <br /> Sam Date Time 'L '� O- <br /> Num Location Description Sampled Sampled £ H a' m a'i O rn a <br /> I 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: Dare: Ince: <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)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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