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SU0007830 SSNL
Environmental Health - Public
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2600 - Land Use Program
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PA-0900165
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SU0007830 SSNL
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Entry Properties
Last modified
5/7/2020 11:33:15 AM
Creation date
9/5/2019 10:58:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0007830
PE
2622
FACILITY_NAME
PA-0900165
STREET_NUMBER
10726
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
APN
06318001
ENTERED_DATE
7/17/2009 12:00:00 AM
SITE_LOCATION
10726 E HARNEY LN
RECEIVED_DATE
7/17/2009 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARNEY\10726\PA-0900165\SU0007830\SS STDY.PDF
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EHD - Public
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. O F Weekly <br /> CHAIN <br /> A I`� CUSTODY <br /> 1 <br /> IY�IIRO1�MENT.AI, kly <br /> www.fglinc.com Field Copy (3 of 3) <br /> 33458:12103/2007 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: 902 Industrial Way <br /> Lodi,CA 95240 <br /> v <br /> Phone: 209)367-3701 Fax: (209)333-8303 ° " <br /> k Contact Person: Neil Anderson <br /> LL1 <br /> Project Name: tJ !s /i,rrf/ i f i,, t � <br /> a <br /> Purchase Order Number. <br /> Quote Number: ` ? <br /> CL <br /> i W Q <br /> Samplers) _.,_... <br /> Sampling Fee: Pickup Fee: <br /> si <br /> Compositor Setup Date: �l�l� Time: _1T� Z 0 z U <br /> F .. <br /> Lab Number: STK 3-9574 0 a p v <br /> j 4 a a <br /> I Samp Date Timeled Sampled — a ¢7 ti <br /> Location Description y ' o ti - <br /> Num w <br /> o 0 <br /> p p F a< w wo <br /> 0 Travel Blank G LBW 2 <br /> G DW 2 1 <br /> i <br /> k i <br /> i <br /> Remarks: Relinquished f Date: Time: Relinquished Date: Time: Relinquished Date.: Tirne: <br /> :Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> -17 <br /> i <br /> i Coraarate Offices&Laboratory- Office&Laboratory Office.&Laboratory Field f ice <br /> nia <br /> P.O.Box 272 1853 Corporation Street 2500 Stagecoach Road 563 East Lindo Avenue Visalia, 139)Cal7 4- <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 TEL (5'(55 734-9473 <br /> TEL: (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 Mobile (559}737-?_399 <br /> FAX (805)525-4172 FAX: (209)942-0423 FAX: (530)343-3807 FAX (559)734-8.135 <br />
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