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FIELD DOCUMENTS
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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Advanced GeoEnvironmental, Inc. www.adv¢eoenv.ctu CRAIN OF CUSTODY RECORD <br /> '9837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 Date: �' 71' `1- Page .2 of <br /> �. ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 •Fax(714)529-0203 0� —C) <br /> :: -"• ❑ 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 <br /> Project Name Pro er <br /> «, '117 L; <br /> Client Sampler(initials&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: V <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> . `. f <br /> W; <br /> vJ <br /> of <br /> Relinquished by: Date: Time: Laborato <br /> I-3�- L <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 /> 2-11112— L/,S <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 ho s5 da s(standard) then Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work <br /> Geohacker EDF to: eotrracker@advgeoenv.com ❑ Global ID: <br />
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