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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0541800
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Last modified
3/16/2020 4:49:55 PM
Creation date
3/16/2020 2:00:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0541800
PE
2960
FACILITY_ID
FA0023969
FACILITY_NAME
CANCUN RESTAURANT
STREET_NUMBER
135
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
13908010
CURRENT_STATUS
01
SITE_LOCATION
135 E MINER AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Advanced GeoEnvironmental, Inc. www.advgeoenv.co CHAIN OF CUSTODY RECORD' <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 - Date: t.' , Page-L of <br /> i. ❑ 381 Thor Place,Brea,California 92821 •Phone(714)529-0200 • Fax(714)529-0203 G <br /> i �" ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 kA <br /> Prg1,ect Name ProjetManager <br /> C_0.v\C,� Dov u'� wn,;UVtn <br /> Client Sampler ¢ials&& tur� <br /> Lab Project No.: ` <br /> Invoice to: ')mfAGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> �Jlo' ZO :err <br /> - 3to <br /> Z �0rLkV ii ' <br /> lD- h >L <br /> Relin by: Date: Time: Laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hou 5days(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to: geoVackerQadvgeoenv.com ❑ <br />
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