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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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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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SJGOV\tsok
Tags
EHD - Public
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Cl- m OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special Subcontract to www.fglinc.com <br /> Analytical Chemisis Babcock Laboratories, Inc. Field Copy (3 of 3) <br /> 35731:0SM2/21121 TFST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> 'tient: Fruit Growers Laboratory,Inc. <br /> ,ddress: FGL Environmental.Inc. <br /> 853 Corporation St. - a <br /> Santa Paula,CA 93060-3005 x <br /> Y L <br /> y U <br /> 0 <br /> 'hone: Fax: 3 ¢, <br /> .ontact Person: * a a <br /> 'roject Name: <br /> - (3-17919) <br /> � x <br /> 'urchase Order Number: <br /> )cote Number: oo p <br /> y w <br /> ;ampler(s) 06 w a � E- <br /> 0 <br /> * = rn <br /> iampling Fee: Pickup Fee: ao <br /> 0 <br /> c y O a Q <br /> 2ompositor Setup Date:_/_/_ Time:_/_ E a z O a Q w <br /> ) C V] U <br /> O <br /> Lab Number: 0 a e`°�> <br /> lam, 1)ate Time = ? u= E <br /> Num Location Description S,i glued S:tmpled H a m ro'O �n C7 <br /> 1 G DW 3 <br /> Remark : Relinquished Date: Time: Relinquished Uatr: I ime: Relinquished Date: 'time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: llmc: <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/Aa 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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