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SU0006907 SSCRPT
Environmental Health - Public
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SU0006907 SSCRPT
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Last modified
5/7/2020 11:32:47 AM
Creation date
9/9/2019 10:48:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006907
PE
2622
FACILITY_NAME
PA-0700587
STREET_NUMBER
5525
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
01116020
ENTERED_DATE
12/26/2007 12:00:00 AM
SITE_LOCATION
5525 W TURNER RD
RECEIVED_DATE
12/24/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TURNER\5525\PA-0700587\SU0006907\SSC RPT.PDF
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EHD - Public
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EIWIFMIDNINIMENMU Weekly CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (1 of 3) <br /> I�I II I 33458:12/0312007 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client Neil Anderson& Associates <br /> Address, 90?lndusrrial Way <br /> L+tti. CA 95240 _ <br /> Y <br /> Phone: (204)367-3701 Fax: (209)333-8303 <br /> v <br /> [:ontnct Person: Neil Anderson � <br /> Projecl Nnrne: Ko 6YIP L W <br /> a rx <br /> Purch:r.ee Order Number: o-711715 <br /> Quote Nttmhcr. v w 3 <br /> w <br /> ,impler(s) — C4 � � <br /> /� " � W z v <br /> O <br /> vW L a <br /> Sam ling Fee: Pickup Fee: �bo c a <br /> � " O <br /> Compositor Setup Date:�!_h Time:_h o <br /> Lab Number: STK (J 3-9574 0 °' <br /> CD p .c <br /> Da <br /> Location <br /> Num Location.pescription Sampled Sampled F �° O w� 5 w° <br /> 0 Tiavef Biank G LBW 2 <br /> G D W 2 l <br /> r •1 <br /> r <br /> Remarks: elinquished ' Date: Time: R ed Date: Time? eli 1 sv�`',� <br /> � 4 Date: Time: <br /> 1 <br /> By: Date: Time: Receiv ,By: Date: Time: ei d y: ate: Time^ <br /> A-7 <br /> �+0 Rox 27.2 Brg o llor S ry gffite&Lab ratory Office&Labor tory Field Office <br />' f O t3ux 272;853 Corhoralinn Street 2500 Stagecoach Road <br /> .`3,0141}'r+Uia,CA 93061-0272 563 East Lindo Avenue Visalia,California <br /> t I Ll - (945)392-2000 Stockton,CA 95215 Chico,CA 95926 TEL (559)734-9473 <br /> AX (8051525-4172 TEL: (209)942-0182 TEL: (530)343-5818 Mobile:(559)737-2399 <br /> FAX: (209)942-0423 FAX: (530)343-3807 PAX: (559)734-8435 <br />
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