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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0542014
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Entry Properties
Last modified
1/16/2020 4:56:14 PM
Creation date
1/16/2020 4:04:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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t <br /> Advanced GeoEnvironmental, Inc. www advfzeoeiiv.coni CHAIN OFF 9�U/STODY RECORD <br /> ® 4 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 •Fax(209)467-1118 Date:Ak / Pagel oA <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 b`Y—`-- <br /> ❑ I Z.o6 <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570.1461 Analysis Required <br /> ❑395 Del Monte Center,9111,Monterey,California 93940 a Phone(800)511-9300 •Fax(831)394-5979 <br /> El <br /> Project Name I Project Manager <br /> l S <br /> Client Sampler(i Is&signature) <br /> eM No.: <br /> Invoice to: ' AGE ❑ Client Wb Proj <br /> Sample ID/LocationMescripiton Date Time Matrix Number Notes 1 <br /> 9 i <br /> 14#4&2f F Rill <br /> x31 <br /> 2 1 <br /> Relinquished by: Date: Time: Labomtary. <br /> NVCourier: Received by: Uate: Time. <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by Date: Time: <br /> k- '� <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours days(standard her: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> i <br /> Glnbal ID' <br /> eotracker EDF w;LJgcmracker(a dvgcocnv.com 0 . <br />
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