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FIELD DOCUMENTS
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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PR0541800
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Entry Properties
Last modified
3/16/2020 4:49:55 PM
Creation date
3/16/2020 2:00:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0541800
PE
2960
FACILITY_ID
FA0023969
FACILITY_NAME
CANCUN RESTAURANT
STREET_NUMBER
135
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
13908010
CURRENT_STATUS
01
SITE_LOCATION
135 E MINER AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD�-7 <br /> >D37 Shaw Road, Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 v� Date: G Page-7- of-31 <br /> ______ �i .. ❑ 381 Thor Place,Brea,California 92821 •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,#1 1 I,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Elr <br /> Project Nam P ' t Manager j <br /> Client Sampler(initials nature) <br /> J 'r <br /> Invoice to: GE ❑ Client Lab Project No.: V,J <br /> Sample ID/ <br /> L <br /> o <br /> cation/Description Date -Time Matrix Number Notes <br /> o <br /> e -macG.--S-�3 tb Wn-6 Ll <br /> Relinqui Date: Time: Laboratory: <br /> CTr-C� <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> ik- / �^= 2 - - <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 ho s 5 days(standard)-O r: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to: ❑ geotracker@advgeoenv.com 0 Global ID: <br />
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