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SR0084419_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0084419_SSNL
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Entry Properties
Last modified
4/27/2022 9:14:08 AM
Creation date
4/27/2022 8:57:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084419
PE
2602
FACILITY_NAME
MAIRA NAVARRO
STREET_NUMBER
336
Direction
E
STREET_NAME
WATTERS
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19331004
ENTERED_DATE
10/29/2021 12:00:00 AM
SITE_LOCATION
336 E WATTERS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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Babcock Laboratories, Inc. <br />Subcontract Chain of Custody <br />CLIENT DETAILS: <br />Client: FGL Environmental <br />Address:_ 853 Corporation Street <br />Santa Paula, CA 93060 <br />Phone: _(805)392-2000 Fax: (805) 525-4172 <br />Project: STK2154072 (3016608) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATION: <br />Rush Analysis: 05 days ❑4 daysE]3 days ❑2 daysE]24 hours <br />Electronic Data Transfer: No <br />If yes, To: State Client Other <br />REMARKS: Sent From FGL Lab ST <br />****Run TB ONLY if Needed**** <br />0 <br />rn <br />A <br />cv7 <br />0 <br />3 <br />O <br />o <br />O � <br />zq <br />,- <br />W <br />N <br />al <br />SAMPLING: <br />Sampler(s) <br />a <br />o <br />o <br />S <br />Peter Racco <br />8 <br />£ <br />U <br />°�' <br />o <br />a <br />o <br />e= <br />F- ❑ <br />Ea 3 <br />e <br />o <br />`✓X <br />a <br />.�, O <br />{ z <br />O ta <br />zo <br />to <br />� <br />a°. <br />U <br />m <br />° <br />v <br />m <br />g <br />v N <br />x_ <br />$ U <br />d V <br />0 <br />sc <br />z <br />s <br />°10 <br />za <br />p <br />in <br />'- , <br />a <br />Z <br />¢ <br />U) <br />w <br />w <br />om <br />R <br />ap <br />oo <br />y <br />10 <br />° <br />z <br />T <br />a <br />�3 3 <br />° <br />„ <br />.. <br />0 <br />0 <br />y <br />o <br />o <br />S= Sam le <br />Location/Description <br />Date <br />Time <br />Number <br />Sampled <br />Sampled <br />F- <br />E. <br />v�? 3 <br />V <br />oo <br />a �`✓ <br />�' <br />dt6/ <br />U <br />1 <br />Travel Blank <br />9/30/21 <br />1030 <br />G <br />x <br />2 <br />Domestic Well <br />9/30/21 <br />1030 <br />G <br />DW <br />x <br />CUSTOD7a <br />Y: <br />Relinquished by: Date:�i Time: %704 Relinquished by: Date: Time: <br />Received by: Date: Time: /76 b Received by: Date: Time: <br />
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