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COMPLIANCE INFO_2014-2017
EnvironmentalHealth
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4400 - Solid Waste Program
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PR0504201
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COMPLIANCE INFO_2014-2017
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Entry Properties
Last modified
1/19/2024 2:57:37 PM
Creation date
1/8/2024 2:33:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2017
RECORD_ID
PR0504201
PE
4430
FACILITY_ID
FA0000214
FACILITY_NAME
PILKINGTON NORTH AMERICA INC PLANT 10
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-9739
CURRENT_STATUS
01
SITE_LOCATION
500 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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I <br /> Advanced GeOEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECO <br /> RD <br /> 837 Shaw Road,Stockton,California 95215 o Phone(209)467-1006 o Fax(209)467-1118 Date: I D 41/1 s Page <br /> _ ":•ti 381 Thor Place,Brea,California 92821 o Phone(714)529-0200 o Fax(714)529-0203 <br /> ' ®2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 o Fax(707)570-1461 Analysis Required <br /> ®395 Del Monte Center,#111,Monterey,California 93940 o Phone(800)511-9300 o Fax(831)394-5979 <br /> ® ,tn vve <br /> Project Name Project I <br /> Clint Sampler(initials&signature) <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client <br /> v <br /> Sample ID/Location/Descripdon Date Time Matriz Number Notes <br /> C2 ' N i 2 �S" 3-1 X'I X1 <br /> C 'Z 5 (7 I w,1,5- 1 •-2 � <br /> C2 N w P2 0g, �„ 71 <br /> CZ SO FIE <br /> 9� Wold <br /> � I <br /> Li <br /> i <br /> ' I <br /> i <br /> Relinquished Date: Time:� 0J �2J <br /> IL <br /> Courier: Received by: .J L° <br /> Date: Time: <br /> �SG I0-7_7-- <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Tilne: Received by: <br /> Date: Time: <br /> i <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 days Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> WLACGlobal ID: i <br /> leer EDF to: <br /> 0 <br /> .4; <br /> Beoe<►v.corn 0 . <br />
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