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WP0043280
Environmental Health - Public
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MOORE
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15446
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4300 - Water Well Program
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WP0043280
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Last modified
9/30/2022 8:57:31 AM
Creation date
9/8/2022 4:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043280
PE
4366
STREET_NUMBER
15446
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02717020
ENTERED_DATE
5/9/2022 12:00:00 AM
SITE_LOCATION
15446 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
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 /> ENVIRONMENTAL AGRICULTURAL p www.fglinc.com <br /> Analytical Chemists Babcock Laboratories,,Inc. Customer Copy (2 of 3) <br /> 35731:08/02/2021 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling information <br /> 'liens Fruit Growers Laboratory,Inc. <br /> %ddress: FGL Environmental.Inc. <br /> 853 Corporation St. 3 <br /> Santa Paula,CA 93060-3005 u x <br /> N � <br /> 'hone: Fax: 3 a, <br /> 'ontact Person: w 3 N <br /> 'roject Name: -(3-17919) A ¢ k: <br /> = a <br /> 'urchase Order Number: Ln - T <br /> 2uote Number: z <br /> ;ampler(s) M LU <br /> E F= p <br /> a <br /> U h y W a ^ <br /> ;ampling Fee: Pickup Fee: <br /> :ompositor Setup Date:_/_/_ Time: Z° <br /> G L w <br /> G N <br /> F- <br /> ab Number: o a T ; w <br /> oO <br /> amp Date Time J a q � a E <br /> Vum Location Description Sampled Sampled u I I a ca ca O K <br /> I G DW 3 <br /> remarks: Relinquished bats: Time: Relinquished I),ur: l imc: Relinquished Date: I imc: <br /> Received By: Date: Time: Received By: Daw: Timr: Received By: Date: I iuic: <br /> Corporate Offices&Laborato[y 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/Ao 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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