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WP0040933
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040933
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Last modified
11/22/2021 2:53:48 PM
Creation date
11/3/2021 1:23:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040933
PE
4370
STREET_NUMBER
1282
STREET_NAME
CORWIN
STREET_TYPE
DR
City
MANTECA
Zip
95337-
APN
22231005
ENTERED_DATE
6/30/2020 12:00:00 AM
SITE_LOCATION
1282 CORWIN DR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Special Subcontract to CHAIN OF CUSTODY <br /> S <br /> ENVIRONMENTAL AGFUCULTURAL P www.fgUnc.com <br /> Analytical Chemists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> 35731:08/0212021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Fruit Growers Laboratory,Inc. <br /> Address: FGL Environmental,Inc. <br /> 853 Corporation St. <br /> Santa Paula,CA 93060-3005 <br /> N � <br /> Phone: Fax: a <br /> Contact Person: ua cx <br /> O0 <br /> Project Name: I <br /> - (3-17919) d S <br /> Purchase Order Number: W Y <br /> CIO o T <br /> Quote Number: > no <br /> WW d h <br /> Sampler(s) { 0 Elc, w a F <br /> fU * C'n <br /> P. <br /> Sampling Fee: Pickup Fee: 5 a° 2 <br /> Compositor Setup Date:_/—/— Time: /— z O <br /> a o W <br /> vii 8 0� r <br /> Cd <br /> Lab Number: o T .. <br /> 0 o �� <br /> amp Date Time ra p 'b a <br /> Num Location Description Sampled Sampled H a rA GC O vii <br /> U G DW 3 <br /> Remarks: Relinquished �/ Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> (i11 kol 1 e o <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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