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3500 - Local Oversight Program
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PR0545640
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Last modified
5/5/2020 1:42:21 PM
Creation date
5/5/2020 1:29:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545640
PE
3528
FACILITY_ID
FA0003900
FACILITY_NAME
PACIFIC PRIDE COMMERCIAL FUEL
STREET_NUMBER
2402
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12506001
CURRENT_STATUS
02
SITE_LOCATION
2402 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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i <br /> t <br /> AdGeoEnvironmental, Inc. wwwadveaoenv.cotn CHAIN OF CUS7'Ot) YRFCORI) <br /> 37 Shaw Road, Stockton, California 95215 • Phone (209) 467- 1006 • Fax (209) 467-1118 Date:81 Thor Place, Brea, California 92821 • Phone (714) 529-0200 • Fax (714) 529-0203 09 �� l <br /> ' ❑ 2318 Fourth Street, Santa Rosa, California 95404 • Phone (707) 570- 1418 • Fax (707) 570- 1461 Analysis Required <br /> ❑ 395 Del Monte Center, 4111 , Monterey, California 93940 • Phone (800) 511 -9300 • Fax (831 ) 394-5979 <br /> ❑ Ll <br /> Project Namc rojeet Manager ( <br /> e/ e <br /> Client Sampler (initials Bat e) <br /> In% oice to: 9�—AGE ❑ Client Lab Project No.' ,\\ <br /> Sample 11)/Location/Description Date Time Matrix Number Notes <br /> ti - 9 /908 ?11alog VV <br /> 0 /9a VI/ <br /> Relinquished - - Ume Time: Laboratory: <br /> P � 2 <br /> Received b Date: <br /> y Tinie: <br /> Courier: Y� <br /> / (tel <br /> Relinquished by: Date: Time: Received by: Date: Time. <br /> Relinquished by: Datc Time: Received by: Date: Tune <br /> Requested Tum Around Time (circle): 24 hours 48 hours 72 hours days standard ther: _ _ JOY Matrix Codes: A = Air W = Water S - Sulid <br /> Special Instructions to lab: I hereby authorize the performance of ttte above indicated work. <br /> (f 9711 <br /> Global ID: <br /> Geotracker EDF to: geotracker(-wadvgeoenv.com ❑ <br />
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