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WP0043666
EnvironmentalHealth
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FOREST LAKE
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4300 - Water Well Program
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WP0043666
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Entry Properties
Last modified
11/15/2022 2:34:24 PM
Creation date
11/15/2022 2:16:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043666
PE
4370
STREET_NUMBER
3522
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514123
ENTERED_DATE
8/23/2022 12:00:00 AM
SITE_LOCATION
3522 E FOREST LAKE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\lsauers
Tags
EHD - Public
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Subcontract to Z <br /> 0 <br /> BSK Associates <br /> Chain of Custody Information Sample Information 'Pest Description(s) cz <br /> Lab Number: <br /> n�:T•;il�, i �;i 1:,,�tlul� )ulzll2[)2 2 <br /> Client: Fruit Growers Laboratory <br /> Address: 853 Corporation St. f ll <br /> Santa Paula,CA 9305(1.3045 1 <br /> Phone: Fax: 9 <br /> Contact: <br /> Project: STK2255141 °� a <br /> Purchase Order: a �' A <br /> Sampler(s): Francisco Garcia Rui LOa o 0 <br /> !� L <br /> z <br /> Compositor Setup Date! Time: ° zi <br /> w <br /> o <br /> m 0 v a o <br /> Same Location Description Date Tune P.p D <br /> Num Sampled sampled <br /> 1 Wellhead 10120/2022 09;25 G DW 3 <br /> Remarks <elingti bed Date Time Re2nquished alc< !'ic're HelicRuisked date 1111- <br /> Received Ey: Data Tema Received ByDBEB !lme Receywd By- Gale Time <br />
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