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WP0043259
Environmental Health - Public
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FOREST CREEK
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043259
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Entry Properties
Last modified
10/11/2022 10:09:43 AM
Creation date
10/11/2022 9:46:31 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043259
PE
4381
STREET_NUMBER
4277
Direction
E
STREET_NAME
FOREST CREEK
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
00511021
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
4277 E FOREST CREEK LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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:tient Name: FGL Environmental. Inc. <br />Contact: Cindy Aguirre <br />Address: 853 Corporation Street <br />Santa Paula. CA 93060 <br />Report Date: 09 -Mar -2022 <br />Analvtical Report: Page 1 of 5 <br />Project Name: No Project <br />Project Number: STK2232545 (3019140) <br />Work Order Number: C26286T <br />Reccned on Ice (Y \): YCs Trmp: <br />Attached is the analvtical report for the sample(s) received for your project. Below is a list of the individual <br />sample descriptions with the corresponding laboratory number(s). Also, enclosed is a copy of the Chain of <br />Custody document (if received with your sample(s)). Please note any unused portion of the sample(s) may be <br />responsibly discarded after 30 days from the above report date, unless you have requested otherwise. <br />Thank you for the opportunity to serve your analytical needs. If you have any questions or concerns regarding <br />this report please contact our client service department. <br />Sample Identification <br />Lab Sample # Client Sample ID Matrix Date Sampled B% Date Submitted Ems% <br />C2132867-01 Wellhead Grab Water 02/22/22 9:35 Gary Cabal 02123/22 10:00 GLS <br />
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