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WP0042345
Environmental Health - Public
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4300 - Water Well Program
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WP0042345
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Last modified
9/16/2022 11:34:46 AM
Creation date
8/1/2022 10:44:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042345
PE
4378
STREET_NUMBER
5388
Direction
E
STREET_NAME
FIG
STREET_TYPE
AVE
City
MANTECA
Zip
95337-
APN
22605002
ENTERED_DATE
7/27/2021 12:00:00 AM
SITE_LOCATION
5388 E FIG AVE
P_LOCATION
99
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 /> P www.fgUnc.com <br /> Analyfical Chemists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION - See Reverse de 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 v _ <br /> •- u <br /> Phone: Fax: 3 c <br /> m <br /> Contact Person <br /> Project Name: ��r(iI I - (3-17919) <br /> Purchase Order Number: c7 m — x <br /> Quote Number: v m yam', a O <br /> to a y a <br /> Sampler(s) g 94 <br /> w a. vw <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: 2 <br /> Fa <br /> Lab Number: o rn a r v > <br /> p V <br /> Samp Date Times °' 3 '� '� �' a E <br /> Num Location Description Sampled Sampled F'�` y° pt°j p h E <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: 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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