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SU0006536 SSNL
Environmental Health - Public
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SU0006536 SSNL
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Entry Properties
Last modified
11/22/2019 2:36:10 PM
Creation date
11/22/2019 2:28:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0006536
PE
2632
FACILITY_NAME
PA-0700180
STREET_NUMBER
3824
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
APN
01322052
ENTERED_DATE
4/25/2007 12:00:00 AM
SITE_LOCATION
3824 E WOODBRIDGE RD
RECEIVED_DATE
4/24/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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ENVIRONMENTAL Weekly CHAIN OF CUSTODY <br /> www.fglinc.coil] Laboratory Copy (1 of 3) <br /> 111111111111111111111111 IN 33458:10/01/2007 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson& Associates <br /> r\ddwnr : 902 Industrial Way 3q <br /> Lodi,CA 95240 �(� / <br /> lu <br /> Thune: (209)367-3701 Fax: (209)333-8303 3 co <br /> a <br /> Contact Person: Neil Anderson ) * a <br /> / <br /> I'niject Name: ® /—&L( Ln <br /> Ln <br /> I'mchase Order tuber: <br /> Quote Number: W ¢ a <br /> Sampler(s) 0 c� <br /> Z :D <br /> z N <br /> Con i a <br /> 0 0a Q <br /> Sampling Fee: Pickup Fee: p <br /> en 'a W 0 <br /> Compositor Setup Date:_/_/_ Time: 0 '5 x U z <br /> a z O Pa > <br /> n E C Ca h <br /> Lab Number: STK ��� ? 3-9574 o rn a, a, a p v <br /> Samp Date Time 5 ° – U a <br /> Num Location Description Sam led Sampled a a o a P. A, <br /> P p � F a ca wo W '�t 30 <br /> 0 Travel Blank G LBW 2 <br /> I �/Z o7 ^�� G DW 2 1 <br /> Remarks: Relinquished Date: Time: uished Date: Time: Relinquished Date: Time: <br /> (J'tu� 11 1p �n' <br /> By: ate: Time: Rece' ed By: ate: Time: Recer ed By: Date: Time: <br /> n r�w <br /> C4.rpQrateOff ces$b4-rat9-ry Office&Laboratory Office&Laboratory Field Office <br /> t,0 Bo2-1-2/853 Corporation Street 2500 Stagecoach Road 563 East Lindo Avenue Visalia,California <br /> w F a da.CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 TEL: (559)734-9473 <br /> I L !E±u!.t 392-=000 TEL: (209)942-0182 TEL: (530)343-5818 Mobile:(559)737-2399 <br /> F INX. t8(j'.)5254172 FAX: (209)942-0423 FAX: (530)343-3807 FAX: (559)734-8435 <br />
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