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WP0041732
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041732
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Entry Properties
Last modified
1/20/2022 4:40:16 PM
Creation date
4/14/2021 10:27:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041732
PE
4373
STREET_NUMBER
5828
Direction
E
STREET_NAME
FAIRLANE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00527015
ENTERED_DATE
2/24/2021 12:00:00 AM
SITE_LOCATION
5828 E FAIRLANE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL� AGRICULTURAL Special Subcontract to www.fglinc.com <br /> Analytical Chernists Babcock Laboratories, Inc. Customer Copy (2 of "3) <br /> 35731:0S/02,'262 1 TEST DES CR I"PT I P N See Rc\ersc side for Collia"',: SamplillL, inlurnrttiun <br /> Clicin: Fruit ;roviers Laboratory, Inc. <br /> '\ddrL,�: FGL "n%ironniental. !nc. <br /> it poration St. <br /> Santh. 'aula,CA 93060-3005 <br /> Phone: Fax: <br /> Contact PersoW <br /> Project Name: <br /> (3-17919) J5 V) <br /> Purchase Order Number: <br /> lu T <br /> Quote Number: > Ij <br /> < cz ca. <br /> E <br /> Sampler(s) a w F, cc <br /> E z <br /> 0 v) >' 0 <br /> U V) <br /> Sampling Fee: Pickup Fee: 5 <br /> Compositor Setup Date: Time: <br /> Z <br /> E <br /> Lab Number: <br /> > <br /> Same Date Time -E <br /> Location Description 7E <br /> Num Sampled Sampled -r <br /> G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By Date: Time: Received By: Date: Tinic: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br /> Santa Paula,CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia,CA 93291 <br /> Phone: (805)392-2000 Phone: (209)942-0182 Phone: (530)343-5818 Phone: (805)783-2940 Phone: (559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax: (805)392-2063 Fax: (209)942-0423 Fax: (530)343-3807 Fax:(805)783-2912 Fax: (559)734-8435 <br />
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