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FIELD DOCUMENTS_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT
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2900 - Site Mitigation Program
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PR0542014
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FIELD DOCUMENTS_FILE 2
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Last modified
1/16/2020 4:42:59 PM
Creation date
1/16/2020 4:00:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0542014
PE
2960
FACILITY_ID
FA0023306
FACILITY_NAME
LARRYS AUTO REPAIR
STREET_NUMBER
308
Direction
N
STREET_NAME
GRANT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
308 N GRANT ST
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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® 4dvanced GeoEnvironmental, Inc. www.advecocnv.com CHAIN O USTODY RECORD <br /> 4<837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 r Date:f qPage_(of_[ <br /> ® F-1381 Thor Place,Brea,California 92821 a Phone(714)529-0200• Fax(714)529-0203 <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑395 Del Monte Center,#I 11,Monterey,California 93940 •Phone(800)511-9300 Fax(831)394-5979 <br /> Project Name )5 Project Manager <br /> LIN <br /> Client trampler ' Lftals&signature) 1� <br /> sk t <br /> Invoice lo: AGB C] Client <br /> Lab Project No.. <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> Z � <br /> v <br /> Relinquished by Uate: Tirge: Laboratory: <br /> Courier: Received by Date Irate: <br /> Relinquished by: Date: Time. Received by: Date Time: <br /> Relinquished by Date: Tim: Received by: / Dale: Time <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 d s(standard) )thee Matrix Codes: A-Air W=Water S-Solid <br /> Special Instructions to lab: I hereby auth - e— a performance of the above indicated work, <br /> Gcuveeker FDF to ❑ geotracker(daUvgewm.com 0 <br /> Gluhal IIT. /� <br />
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