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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009016
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Last modified
6/17/2020 1:55:20 PM
Creation date
6/17/2020 11:34:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0009016
PE
2959
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
01
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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"i�na <br /> I <br /> Advanced <br /> CHAIN OF CUSTl �7Y <br /> :.•:1 Date��"e/—W page <br /> GeoEnvironmental, Inc. �5 `�' — _ rf <br /> --- gm� <br /> 637 Shaw Road-Stockton, California- 05215-(200)467-1006- Fax (200)467-1116 ; <br /> Client ,` P(sj ctManag <br /> Af1nL'Q/.( L �I 6 jLl c LL leu � G1 { Tests RGA j I i <br /> Phone Number <br /> Al" tars; (Si natal _ ���� . invoice: <br /> Project Name �1I Cl e. l f6ULj W(/ �! M( LL 1?-jj � �� AGE <br /> �t C^I n Client <br /> Sample Location Sample Type Li <br /> Date Time No. of <br /> Number Description Water Solid h 1 r <br /> Comp. Drab. Air Cont6. <br /> co-)\1%qA It -off of !W-t) <br /> tl IV <br /> LAI �'s l= L <br /> 1936 <br />— �- – – 12- I f r }1oL� <br /> uruff eoevey: tSianture- <br /> -CAA((�,w <br /> ±72 <br /> a Inquts o by: (Signature) Received by: (Signature) •z.::: 1, <br /> Relinquished by: (Signature) Recalved by Mobile Laboratory for field analyst*:(Signature)`j , <br /> Dispatched by: (Signature) alaRime Recy v or Laborsifory b b/Tlms <br /> �,0 <br /> Method of Shipment: C7I �O hCts�, <br /> Labor cry Name <br /> S�/tZ� OV SAG/lsl/T M <br /> Special instructions: I here <br /> 5b authorize the ormane of the ae.T ' <br /> p VN DRG KETALS OBTR y <br /> I l.� onrrr <br /> 1r{d RVATfO <br /> CtC <br /> GOOD COWITIM APPROPRIATE <br /> AI HS <br />
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