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WP0042166
Environmental Health - Public
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4300 - Water Well Program
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WP0042166
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Entry Properties
Last modified
6/30/2022 4:28:24 PM
Creation date
6/30/2022 4:26:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042166
PE
4370
STREET_NUMBER
16940
Direction
E
STREET_NAME
DAVIS
STREET_TYPE
AVE
City
LINDEN
Zip
95236-
APN
09114009
ENTERED_DATE
6/18/2021 12:00:00 AM
SITE_LOCATION
16940 E DAVIS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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FGL <br />Time: <br />Relinquished <br />CHAiri OF CUSTODY <br />Time: <br />Received By <br />Special Subcontract to <br />www.fglinc.com <br />ENVIRON MENTAL AGRICULTU <br />RAL <br />Analytical Chemists <br />Babcock Laboratories, Inc, <br />Custom ` Copy (2 of 3) <br />35731:08, o2, ?U21 Dl:S( RIPI IUB Re%erse e I'll Container. Presery ve and J.+mhltn inlurntauun <br />Client: Fruit.Growers Laboratory, Inc. <br />AddressFGL Environmental, Inc. <br />3853 Corporation St. <br />3 <br />;Santa Paula, CA 93060-3005 <br />v <br />a <br />Phone: Fax: <br />3 <br />Contact Person: <br />21 31 Li <br />3 <br />Project Name: 1 -(3-17919) <br />Purchase Order Number: <br />Quote Number: <br />U <br />x <br />> <br />W, <br />� <br />O <br />Samplers) t <br />w <br />w <br />¢ <br />v) <br />v <br />p <br />F Uw <br />V) z <br />T <br />o <br />i Sampling Fee: Pickup Fee: <br />Compositor Setup Date: /_/ Time: <br />a <br />Lab Number: <br />w <br />a_ <br />0. <br />'d : <br />CL C7 <br />;amp Date <br />Num Location Description Sampled <br />Time <br />Sampled <br />fl <br />ro�� <br />p <br />n E <br />ai O i v <br />3 <br />2cinark,: <br />Relinquished Date: <br />Time: <br />Relinquished <br />Received By: Date: <br />Time: <br />Received By <br />C�oroorate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: iRelinquished <br />Date: Time: IReceived By <br />Office 8r Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Date: I'ime: <br />Date: Time: <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />
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