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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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e CHM OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special Subcontract to www.fgUnc.com <br /> Analytical Chemists Babcock Laboratories, Inc. 'j Field Copy (3 of 3) <br /> 35731:08 212021 1 TEST DESCRIPTION - See Reverse sick for(';+mainer reservative and Sampling information <br /> i" <br /> lient: Fruit Growers Laboratory,Inc. ? s <br /> ddre <br /> C <br /> ss: FGL Environmental.Inc. i Q <br /> 853 Corporation St. �` 3 N <br /> y Santa Paula,CA 93060-3005 evs <br /> , c4 <br /> e <br /> Lhone: Fax: �c 3 0, <br /> v <br /> ontact Person: <br /> Prod <br /> L)ect Name: -(3-17919) <br /> Purchase Order Number: O y m y <br /> Quote Number: G a o <br /> W y.. a <br /> Sampler(s) o. w y^ g F Um <br /> * ti O A <br /> f 'a <br /> Sampling Fee: Pickup Fee: c .o <br /> Compositor Setup Date:_/_/__ Time:_/— 6 "' Z O <br /> u <br /> y E ch cF <br /> Lab Number: <br /> amp Location Description Date Time r o w Ei o <br /> Num Sampled Sampled No p, 9 m m O m a <br /> I G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Dare: Time: Relinquished Date: Time: <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.Undo 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)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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