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2900 - Site Mitigation Program
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PR0536876
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Last modified
1/15/2020 5:47:14 PM
Creation date
1/15/2020 4:54:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0536876
PE
2950
FACILITY_ID
FA0021161
FACILITY_NAME
RIPON CARDLOCK
STREET_NUMBER
816
Direction
S
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95336
APN
26102010
CURRENT_STATUS
01
SITE_LOCATION
816 S FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 C2 162 Date: Page Of-'5- <br /> F-1 <br /> f-'5-❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 * Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> F-1395 Del Monte Center,#1 l 1,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name '' IIProject Manai;13 ( <br /> C(-'k0V'1 "J ( mac r a") l/hcr) <br /> Client Sampler(initials&signature <br /> k(m6r( i <br /> Lab Project No.: Q- � J <br /> Invoice to: AGE El Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes 1� <br /> Ps -)-7-1 <br /> )0 I 7WIJ <br /> o <br /> y - S <br /> 65'- jo lyqo �D <br /> H SO <br /> 44 <br /> Relinquished b Date: Time: laboratory: <br /> Courier: f Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(standazd) er: Matrix Codes: A-Air W=Water S=Solid <br /> Special Instructions to lab: -'- I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:0 geotracker@advgeoenv.com 0 Global <br />
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