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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0517512
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Last modified
11/1/2018 6:59:48 PM
Creation date
11/1/2018 3:14:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0517512
PE
2960
FACILITY_ID
FA0013476
FACILITY_NAME
FTG CONSTRUCTION MATERIALS, INC
STREET_NUMBER
925
Direction
W
STREET_NAME
ANDERSON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
925 W ANDERSON ST
P_LOCATION
01
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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tZ Advanced CHAIN F CUSTODY REOOR[z <br /> r7 77 0 <br /> Data Page 5 of___2_ <br /> GeoEnvironmental, Inc. _5q_ <br /> ,;, <br /> 937 Shaw Road- Stockton,CalRorrda-8521a- (200)487.1006-Fax(2091+57-1119 <br /> a - tspsCD <br /> Client P M <br /> To?Required <br /> PNisnber Pi <br /> lavoloe; <br /> + A <br /> Project NameA&I (~ Cj <br /> +G Cb'� <br /> Sample Location SMOeType No. of <br /> Number Description Date Tines Water Air Solld Corns Notes <br /> Camp. Oreo. <br /> ef <br /> 45M I <br /> f�My r <br /> &_5_q_-7J <br /> 7 k x <br /> - 0 1;LOVIh- <br /> � h-- <br /> r tt 55 <br /> u e an re ca a y: rpba n �,y3ILCC� Da <br /> (rime <br /> Rel u: ed ,SReceivedgnalure) Receivedby:(81anatun] � G <br /> /'/'G <br /> ri�4 r' �. S9ITime <br /> Re nqu a e y: ynswre •oelved by Moblfe Laboratory for saki analyzM (81pn.wn) Datetrime <br /> rliapelohed by:(atpnalun) DotefTifne ca ee for flatelrfine <br /> 17 <br /> 6Sethyi-at 8�eM: i - - •La atary e <br /> V <br /> spatial tnskuctlona: 1 hereby authorize the <br /> P y yetrormente of rhe Above indicated work. <br /> tl <br />
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