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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0542014
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FIELD DOCUMENTS_FILE 2
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Last modified
1/16/2020 4:42:59 PM
Creation date
1/16/2020 4:00:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0542014
PE
2960
FACILITY_ID
FA0023306
FACILITY_NAME
LARRYS AUTO REPAIR
STREET_NUMBER
308
Direction
N
STREET_NAME
GRANT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
308 N GRANT ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Advanced GeoEnvironmental, Inc. wwwadvpeoenv.com CHAIN //F USTODY RECORD <br /> AF-1 <br /> 8Th37 Shaw Road.Stockton.Califomia95215 • Phone(209)467-1006 •Fax(209)467-1118 Date: ZI16Page I Of-t <br /> ill or Place,Brea,Califom •ia 92821 a Phone(714)529 0200 Fax(714)529-0203 o �'�f�❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#I 11,Monterey,California 93940 as Phone(800)511-9300 at Fax(831)394-5979 <br /> Project Name V's Auk <br /> Project Manager <br /> Client Sampler Is&signature) <br /> G <br /> lovoiee to: AGF, ❑ Clicnt Lob Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> e� lz io ID <br /> Relinquished by: Date: Tooe`w Laboratory: <br /> / et Time: <br /> Counter Received by: Date <br /> Date Time: <br /> Relinquished by: Date: Time: Received hy: <br /> Relinquished by: Date'. Time: Received by: / Date 'Pima: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(standard) cr V Matrix Codes: A—Air W=Water S Solid <br /> Special Instmctions to lab: ]hereby th nze the performance of the above indicated work. <br /> Global IU <br /> 'eotracker EDF to:ElgeotreckerQadvgetwnv.com El . <br />
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