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2900 - Site Mitigation Program
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PR0530688
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Last modified
2/6/2020 2:02:45 PM
Creation date
2/6/2020 8:26:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0530688
PE
2950
FACILITY_ID
FA0019894
FACILITY_NAME
SJ DELTA COLLEGE - SHIMA AG
STREET_NUMBER
5151
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816001
CURRENT_STATUS
02
SITE_LOCATION
5151 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Advanced GeoEnvironmental,Inc. w _advgeoenv.cotn CHAIN OF CUSTODY RE QOOIRD <br /> ®837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax.(209)467-11.18 Date: �2�QC Page t Or <br /> i.. ❑381 Thor Place,Brea,California 92821. •Phone(714)529-0200•Fax(714)529-0203 <br /> ii': ❑2318 Fourth Streei;Santa Rosa,California 95404 *Phone(707)570-1418 *Fax(707)570-1461: — i S b Analysis Required <br /> ❑395 Del.Monte Center,;311.1,Monterey,California 93940 •Phone(800)511-9300 Fax(831)394-5979 <br /> Project Name Proiect hiaoager <br /> �� <br /> Client Sampler(i¢itiak ignature) .� "7 <br /> pkwu <br /> 3 <br /> Lab Project No.: <br /> Invoice to:. AGE ❑ Client 1y. <br /> Sample m/Loratio¢lDescriptio¢ Date Time Matrix Number Nates <br /> �i- 5 a12t/ Og3i S i HOLD <br /> 1- � 9%2tlo ©94a S l OLD <br /> Bi- is . 5 u o 1000 S 1 HOLD <br /> Bi-20 cy1216 1635 S <br /> f32- 5 ghiloq 59S l 6L1? <br /> 2-16 �2i .� 1108 <br /> pa-is <br /> 62--2a °�1uit}q l�. 2 s a x x x <br /> 53 2.5 �1a1to9 115s S { X 7X <br /> 5 <br /> 9/21/1)1 /20Q 1 HOLD <br /> Relin wished by: Date: Time: Lzbmatory:. <br /> e , <br /> Canner. Received by: Date: - Time: <br /> Relinquished by: Date: Tune. Received by. Daze: Time: <br /> Relinquished by Date: Time: Received bye Date: Time:. <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 ys(standard) 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 /> TPN-mo )TP&hyd''(aUr- k0idfCarbonCnCur%anAAysi-3VA dact'rtcl <br /> h:�dtcu,Lli'- FititJ (£Pt4&�i5M), <br /> Global ID: <br /> Gecoacker EDF to:❑ geouackcv@advgeomv.com 0 <br />
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