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2900 - Site Mitigation Program
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PR0505465
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 8:42:39 AM
Creation date
3/9/2020 8:15:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505465
PE
2951
FACILITY_ID
FA0003703
FACILITY_NAME
CITY OF STOCKTON ENGINE #12*
STREET_NUMBER
4010
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15727501
CURRENT_STATUS
02
SITE_LOCATION
4010 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Geological Audit S rvicesInc. UFLU61-ODY RECORD <br /> 68W 17ment0a ' <br /> ., <br /> Date Page <br /> 1803 Welt March Lane.Suito A-Slocklon•Culilornin•9520 — <br /> (209)951i.Q2fid ►+ <br /> ' t <br /> 17 <br /> tientProject Manager <br /> r.wblLr Tests Required <br /> Phone Number <br /> � Sampl s: (Signature) (� <br /> Invoice: <br /> ojeq Name ,�'J�r,�>�n ir'P .fftc�ic�t fi f,Z Ceokudit ❑ �t <br /> Sample Location Sam p Tyne <br /> Client 1 <br /> Number Description Date Time W�at—e-r — Solid No.of <br /> AIfconts. Notes <br /> 6,qnw N .. Ir 'IT <br /> F,v+r Z:Oo <br /> 1 - <br /> _ 17,10 —_x X <br /> X I_ X <br /> 12:30 <br /> — M <br /> r ups a rgnalu a <br /> 0 <br /> ;, <br /> I quishaS by: (Signature} <br /> Dvo., d <br /> by: (Sig_naluro) <br /> • Oal./Tww. <br /> •linquuhad by: (Signaturo) _ <br /> ltocoivod by Mobilo Laborolory for hoW analysis: (Signature) <br /> _ ou./TiwN <br /> spatcbed try: (Signelure} Onto/3imo RocoivaJ Ior Laburiiory by: <br /> 01►la/Tiliraa <br /> ;thod o)Shipment: <br /> Lebo o Nom. <br /> inial Inslruclions; ;---'- — _-- 1 <br /> r: '8! ._ — I be( by nulhorilo Iho porlormance of the above ie,dleat.d•ro.>I. <br /> r IJl <br /> .c avr m <br /> ''000 06 '0 �W FRORIAT�' <br /> fim RACE FSS., �,�����__ . . <br />
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