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WP0041716
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COLLIER
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041716
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Entry Properties
Last modified
5/2/2023 4:27:39 PM
Creation date
2/13/2023 1:51:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041716
PE
4366
STREET_NUMBER
4103
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00539046
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
4103 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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© © = <br /> BABCOCK Laboratories, Inc. <br /> The Standard ofExcellence for Over 100 Years <br /> Client Name: FGL Environmental, Inc. Analytical Report: Page 5 of 5 <br /> Contact: Cindy Aguirre Project Name: No Project <br /> Address: 853 Corporation Street Project Number: STK2331347 <br /> Santa Paula, CA 93060 <br /> Work Order Number: C31130259 <br /> Report Date: 16-Feb-2023 <br /> Received on Ice(Y/N): Yes Temp: 2 °C <br /> Subcontract to <br /> Babcock Laboratories,Inc. <br /> Chain of Custody lnfarmation Sam Information 7 est Dewription(s) <br /> lab Amber: <br /> Client, Pnrit 6,mwm Leboratory 3 <br /> Address: 653 Corporation St. '6 <br /> Santa Paula,CA 93060,3005 3 <br /> m <br /> Phone; Fax. m a x <br /> Contact: a a <br /> Prujett: STK2331347 � a <br /> Purchase Oda,. ' i? <br /> Sampler(s)- Frantiscn Garcia Ani <br /> Campos Setup Data: T9mer e � � � 2 <br /> $ame LMAUw Dau - <br /> Num ugplw Sampled I ~l' P7 A L5 <br /> 1 Wellhead 01131t2023 10;15 G DW 3 <br /> MOM 7❑� <br /> 1 <br /> Rc'd=0P10212023 09=50 <br /> GLH <br /> 777 ed Uat¢ ivee ReanWnhd ne�c Tan. Pslh"ks d r Daze T1— <br /> 1 6 8c twd BY: ! Lau 'nme Reooiuodi�' Oate me Be Hr: Paze TIM <br /> 49 PAJU 5 7a) <br /> On Ice NO <br /> Samples Intact NO <br /> lit <br /> mailing location P(951)653-3351 CA ELAP No. 2698 <br /> P.O.Box 432 6100 Quail Valley Court F(951)653-1662 EPA No. CA00102 <br /> Riverside,CA 92502-0432 Riverside,CA 92507-0704 www.babcocklabs.com NELAP No. OR4035 <br /> LACSD No. 10119 <br />
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