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WP0042919
Environmental Health - Public
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4300 - Water Well Program
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WP0042919
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Entry Properties
Last modified
10/24/2022 2:35:00 PM
Creation date
7/26/2022 1:54:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042919
PE
4380
STREET_NUMBER
16820
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05112092
ENTERED_DATE
1/19/2022 12:00:00 AM
SITE_LOCATION
16820 N LOCUST TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHmri OF CUSTODY <br /> ENVIRONMENTAL FW AGRICULTURAL Special Subcontract to www.fgHnc.com <br /> Inalytical Chemists Babcock Labotatories, Inc. Customer Copy (2 of 3)! <br /> 35731:08/02/2021 TEST SCRIPTION - See Reverse side for Container,Preservative and Sampling inf mation <br /> Client: Fruk Growers Labofatory,Inc. <br /> Address: FGL Environmental, nc. ; `• <br /> 853 Corporation St. <br /> Santa Paula,CA 930 -3005 <br /> Phone: Fax: <br /> a <br /> Contact Person: 7 9 j �L& <br /> 111 <br /> Project Name: �t=f - (3-17919) <br /> Purchase Order Number: <br /> od <br /> Quote Number: ,a <br /> U W h v a0 <br /> a <br /> Sampler(s) / (i I- <br /> j s w z o to <br /> U` v <br /> Sampling Fee: Pickup Fee: 5 a = g <br /> Compositor Setup Date:_/_/_ Time: z° O x c <br /> i m w Ei <br /> Lab Number: > <br /> 0 o a F, ad 0 C7 <br /> Samp Location Description Date Time Ei c <br /> Num Sampled Sampled N F. d W A O h 7 <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: Dais: 'Hine <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)7349473 <br /> Env Fax:(805)5254172/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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