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WP0043280
Environmental Health - Public
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4300 - Water Well Program
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WP0043280
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Entry Properties
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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EHD - Public
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000 <br /> BABCOCK Laboratories, Inc. <br /> The Standard a f*Evicellence j/r Over 100 1ears <br /> Client Name: FGL Environmental, Inc. Analytical Report: Page 5 of 5 <br /> Contact: Cindy Aguirre Project Name: No Project <br /> Address: 853 Corporation Street Project Number: 2250744- (3-17919) <br /> Santa Paula, CA 93060 <br /> Work Order Number: C2H0384 <br /> Report Date: 16-Aug-2022 <br /> Received on Ice(Y/N): Yes Temp: 6 °C <br /> FGL CHAIN OF CUSTODY <br /> Special Subcontract to www.fglinc.com <br /> Babcock Laboratories, Inc. Laboratory Copy(i of 3) <br /> l5731:08r82,':0:1 TEST T)F.W PTlOV -See Reverse side for Container.Preser ad,e and Sampling Wormscen <br /> Client Fndt Grocers tahermorv.Inc. <br /> Address.FGL EmuwuLxrtlal.loc. <br /> 852 Cwpomn•+n SL. — t� <br /> Santa Paula.CA 931160-IN6 <br /> Phone: <br /> Comsat P.-rsnn: " s� <br /> _ <br /> Project Name: .r J�/� Q 1 -0-17919) L L <br /> Purchase Order Number. ` A <br /> m s t 0 <br /> Number: U u v <br /> �� u <br /> Sampler(s) v E •j <br /> q�p�// r p <br /> 0 <br /> Sampling Fee: Pickup Fee: _ ' <br /> Composaor Setup Date:_ r Time: i! <br /> --- -- z 7 C .. �', w <br /> Gy .j n <br /> [At,Nii"XF: = v'� c y <br /> s a <br /> a 0a J <br /> 'amp LoaamDescription Dre Tena <br /> Num SamrkA %mpini <br /> I MwX ( G DW <br /> l51�MOV <br /> Gc t <br /> MOM ORMN <br /> OR`s° <br /> Rc'd:08102;2022 16:57 <br /> 1LH <br /> 3eruarks: Reliny Datr: Tune: Re4uyuisMed Date: Timc Relinquished Date: Time <br /> p 4 IZ�D (�LS <br /> Received Ry- rime: Time: Received Ry: Dale: Time: ReaircG 8y: Ualc: "in": <br /> Consorate Offices 8 Laboralory Office d laboratory Off ce&Laboratory Office 8 Laboratory Olfice 8 Laboratory <br /> 8:3 Corporation Street 2500 Stagecoach Road 563 E Undo 3142 Emaresa Drive.Suite D 9415W Goshen Avenue <br /> Sarna Paula,CA 93060 Slrx9 on,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)7WI940 Phow(559)734-947.1 <br /> Env Fax:(805)525mA172 i Ag Fax(8C5)392-2063 Fax:(209)942-0423 Fax.(530)343.3807 Fax:(805)763-2912 Fax:(559)734-8435 <br /> mailing location P(951)653.3351 CA ELAP No. 2698 <br /> P.O.Box 432 6100 Quail Valley Court F(951)653-1662 EPA No. CA00102 <br /> Riverside,CA 92502-0432 Riverside,CA 92507-0704 www.babcoellabs.com NELAP No. OR4035 <br />
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