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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. vvvvw.adveeoenv.co,rn CHAIN OF 1CUSTODY RECO" <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1046 Fax(209)467-1118 Date: L_ Page 1of 7 <br /> �_.. ❑3$1 Thar Place,Brea,California 93821 +Phone(714)529-0204•Fax(714)529-0203 <br /> t;;;�E=•J ❑2318 Fourth Street,Santa]toss,California 95444 •Phone(747)570-1418 •Fax{707}574-1461 Analysis Required <br /> ❑395 Del`stilonte Center,#111,Monterey,California 93940 •Phone($00)511-9340 •Fax(831)394-5979 <br /> Project Name Project'Manager <br /> Client Sampler(initials&signature)I It Y <br /> RENLab Project Na: <br /> Invoice to: AGE 0 Client, <br /> Sample IDfLocation/Description Date Time Matrix Number Dotes <br /> ?/;z I ISV6 S X <br /> Bil- .5 <br /> 9/22/1)? a io2 S N OLD <br /> 12- 2,S" 422 v9 0310 J X XP< <br /> � 22je,? 4 Firs 3 1' OLO <br /> f313- 5 V22216 Iy5 S 1D .D <br /> i <br /> Via/017 <br /> 4 h-V69 Ogv3 <br /> /12/691 OY21K <br /> Relinquished by Dat�e�. � �mLaboratory- <br /> 9 <br /> aboratory: 1 <br /> 169 <br /> Courier ! Received by: Date: Time: <br /> C" IML <br /> Relinquished by. Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by. Date: Time: <br /> Q 1 , - Z -o' f:a? <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours ys(stars Other. Matrix Codes: A=Air W=Water S=Solid <br /> Special buouctitats to lab- I hereby authorize the performance of the above indicated work. <br /> j piF-d►O i"i�if-h�amuric (-1u d. &irbzit Chn:o anait,-;;s Wi5�F1'4- lr crl ifi a6rv► 0 mc:6r 011 Gina <br /> hgd'rtlt•L.(-M-ci (zrPA <br /> Geotracker EDF to:0 getara ker@3 g Global TD: <br /> c dv eoenv.com, <br />
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