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WP0043555
Environmental Health - Public
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4300 - Water Well Program
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WP0043555
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Last modified
11/15/2022 2:26:56 PM
Creation date
8/17/2022 12:27:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043555
PE
4366
STREET_NUMBER
22331
Direction
E
STREET_NAME
SKIFF
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20519003
ENTERED_DATE
7/29/2022 12:00:00 AM
SITE_LOCATION
22331 E SKIFF RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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Subcontract to <br /> BSK Associates <br /> Chain of Custody Information Sample Information Test Deseriptiod(s) <br /> Lab Number: <br /> Client: Fruit Growers Laboratory <br /> Address: 853 Corporation St. <br /> Santa Paula,CA 93060-3005 3 <br /> a <br /> A Q V d <br /> Phone: Fax: N 0 x <br /> Contact: y a e <br /> Project: STK2254808 y 3 d <br /> Purchase Order: o a to m <br /> G V W <br /> FJ z v a 0. A <br /> U <br /> Sampler(s): Aaron Goddenhanl e, p 4 <br /> m r y O <br /> C x o w <br /> to B z a = <br /> Compositor Setup Date: Time: o to w Z <br /> v 4t <br /> Sump Locatiad Descriputm Date Time m � o m 0 d a o <br /> Num _ Sampled sampled > F c. m M C co <br /> 1 Wellhead 10/13/2022 14:31 G DW �L <br /> Remarks R'e haquis ad Data Time Ra"nqutehed Date Time Relinquished Date Time <br /> i <br /> 17CC <br /> Received By: .Date Thne R 'Tu <br /> eceived By: Date ve Rec.md B, Dare Time <br /> 1-70 Ci <br /> LIQ S , ' <br />
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