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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
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EHD - Public
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Subcontract to <br /> IBSK Associates <br /> Chain of Custody Information Sample Information Test Descrlpdon(s) <br /> Lab Number: <br /> Client: Fruit Growers Laboratory <br /> Address: 853 Corporation St. <br /> Santa Paula,CA 93060-3005 3 <br /> 5r c4 <br /> Phone: Fax: O <br /> Contact: � ��, '� a w <br /> Project: STK2255141 o � d <br /> Purchase Order: 9 w m m a <br /> 0 <br /> to <br /> Sampler(s): Francisco Garcia Ru( a fi o d <br /> q O m vii <br /> Compositor Setup Date: Time: 0 w w <br /> 0 0 °' °' <br /> m O yk <br /> �� U 0. p <br /> N mR tocatlaa Desraiptlda Data <br /> �ted ado, m m a w <br /> 1 Wellhead 10/20/2022 09:25 G DW 3 <br /> Remarksaei n(�gwp¢ed Data Time Raenwished Date Time Renmtemhed Dale rime <br /> /X;-1 (70Z <br /> Received By: / Date Time Received Bp Data Time Racnived By: Date Timo <br /> 41L' z b x /(M)3 l 7 n 0 <br />
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