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WP0043292
Environmental Health - Public
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4300 - Water Well Program
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WP0043292
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Last modified
9/14/2022 9:39:36 AM
Creation date
8/1/2022 10:53:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043292
PE
4378
STREET_NUMBER
22516
Direction
S
STREET_NAME
ALICE
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
22614027
ENTERED_DATE
5/12/2022 12:00:00 AM
SITE_LOCATION
22516 S ALICE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special Subcontract to www.fgUnc.com <br /> Analytical Chemists Babcock Laboratories, Inc. Customer Copy (2 of 3) <br /> fIJ <br /> 35731:v6/02/2021 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Fruit Growers laboratory,Inc. <br /> 4ddress: FGL Environmental,Inc. <br /> 853 Corporation St. a <br /> Santa Paula,CA 93060-3005 <br /> W <br /> V <br />�. ?hone: Fax: 3 a <br /> Contact Person: <br /> ?mject Name: 1G G - (3-17919) d <br /> ?urchase Order Number: c7 w S <br /> quote Number: v wti v e <br /> v W 0 <br /> Sampler(s) ' <br /> co <br /> Sampling Fee: Pickup Fee: 6b <br /> Compositor Setup Date: I_/_ Time: Z O od.° w <br /> Lab Number: o m <br /> :amp Dale Time 3 v a — <br /> ? <br /> Num Location Description Sampled Sampled � cm 0 ov <br /> G DW 3 <br /> iemarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> n <br /> Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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 1 All Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />
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