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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. www.advgeoenvxom CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 +Phone(209)457-1006 +Fax(209)467-1118 �} <br /> Date: f Page of Y <br /> �,.., ❑381 Thor Place,Brea California 92821 •Phone(714)529-0200• Fax(714)529-0203 <br /> t` ' ❑2318 Fourth Street,Santa Rosa,California 95404 r Phone(707}570-1418 •Fax.(70?}570 1461 Analysis Required <br /> ❑395 Del Monte Center,#I I),'Monterey,California 93940 +Phone(800)511-9300 •Fax(831)394-5979 n. <br /> Project Name Pro'eet Manager <br /> lAd <br /> oefikr v y <br /> Client Sampler(initials&signature) <br /> kEN <br /> ' Lab.Project No.:. S C <br /> Invoice to: AGE "13 Client <br /> Sample ID/London/Description Date Time Matrix Number Notes ' <br /> 0139 S lQ <br /> - 2�S 't- v9 4 3 <br /> bn 2.5 90109.v9 1660 X <br /> i -5 4 2.20 S �. <br /> 131l,_ .S 9 2 09 162 2 S ?C <br /> •131921' 4 a9 IIgY 2 X <br /> s 1. a <br /> Relinquished by: Date Time: ratory: <br /> Courier. Received by. Date: Time: <br /> O <br /> Relinquished by: Date: Time- Received by: Date: Time: <br /> Relinquished by-. Date: Timer Receivedty ) Date, Tune: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour<- days(standar Other. Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work'. <br /> '�N--1i'1✓3 � TPIt-h `ra.6tlrc �`I f.fe c1� (�tr�un ���7 ,QrYtt�3;i. tt�i S02icr Fri, �zn�•i�+<:ct�i�r1�•�' tl�nc�o� o':l �-�}G� <br /> CLfici h45:k& L flvia CIEVA <br /> Global 1D: <br /> Geouacker EDF to:0 9wtrackff advgeoenv.com C1 <br />
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