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SR0084296_SSNL
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2600 - Land Use Program
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SR0084296_SSNL
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Entry Properties
Last modified
10/29/2021 4:39:26 PM
Creation date
10/29/2021 4:18:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084296
PE
2602
FACILITY_NAME
11671 E ADA AVE
STREET_NUMBER
11671
Direction
E
STREET_NAME
ADA
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10327008
ENTERED_DATE
9/30/2021 12:00:00 AM
SITE_LOCATION
11671 E ADA AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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(awENVIRONMENTAL <br />L <br />wwLL�ab Number: <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 3 <br />Address: 407 W. Oak St. i <br />Lodi, CA 96240 9 <br />Phone: (209) 369-0375 Fez: <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Emaii Address: abby@logelodi.Com $ <br />Contact Person: Abby Racco <br />Project Name: Ruiz, 11671 E. Ada Ave., Stockton, CA 1l g , - <br />Purchasc Order Number: q <br />Quote Number:61 <br />s U y _ ,S7 <br />Sampler(s): <br />Pte- �at;Go � z n, � N <br />Sampling Fee: Pickup Fee: <br />z E 3 <br />Compositor Setup Date: Time: F3 .� <br />I I TPmSamp Location Description Date led <br />Sampled samt E y ti <br />; Z'-- a m <br />.1— <br />By: Date: Time: <br />1) 817 fa- l // <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />TEL: 80 513 92-2000 TEL: 209/942-0182 <br />FAX: 80515254172 FAX: 209/942-0423 <br />CA NELAP Certification No. 01110CA CA ELAP CefcBtlOn No. 1563 <br />Received By: <br />Ti/70 <br />Recevcd By: <br />$ 3a01;y{ <br />l �0 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL: 530/343.5818 <br />FAX: 5301343.3807 <br />CA ELAP Certlficatlon No. 2670 <br />`�D e: Time: <br />d <br />Fleld Office <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 5591737.2399 <br />FAX: 559r734-8435 <br />
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