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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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3230
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3500 - Local Oversight Program
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PR0544759
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Last modified
8/19/2019 10:17:04 AM
Creation date
8/19/2019 10:01:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544759
PE
3528
FACILITY_ID
FA0004058
FACILITY_NAME
VANCO*
STREET_NUMBER
3230
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11708017
CURRENT_STATUS
02
SITE_LOCATION
3230 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 o Fax(20.9)4, 67-1118 Date:_ �' Page ..0f <br /> :, ❑381 Thor Place,Brea,California 92821 *Phone(714):529-0200•Fax(714)529=0243 Qf —IS a <br /> ❑2318 Fourth.Street,Santa Rosa,California 95404 •.Phone(707)570-1418 •Fax(707)57,0=1461 AnAlySIS] e(1111I'e(1 <br /> ❑395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511 9306+:`Fax(831)394-5979 <br /> Project Name Project Manager <br /> Client Samp er(initials&signature) <br /> Aq <br /> ... �, <br /> A <br /> Lab Projeck No.: <br /> Invoice to: AGE ❑ Client 1� <br /> Sample ID/Location/Description Date Time Matrix Number Notes 1' <br /> -CVZ)1 �z eye ZZ�o�i I l�Ll17 , (.� <br /> 77 <br /> Rehuquished by: Date: Time: Laboratory. <br /> Couner:. Received by: Dater YtYne <br /> V -T <br /> Relinquished by: Date: Time: Received'by: Date: lirtte <br /> Relinquished by: Date: Time: ReeeiLed by Dine TAtrre <br /> Requested Turn Around Time(circle): 24 hours '48 hours 72 hours 5 days(standard Other: W s._,A=Air W=Water S Solid <br /> Speoialanstructions to lab: I hereby authorize the performanceof the above indicated work. ..., <br /> Global ID: � <br /> Geotracker EDF to: eotracker@advgeoenv.com ❑ VVV <br />
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