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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILCOX
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2380
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2900 - Site Mitigation Program
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PR0535870
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COMPLIANCE INFO
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Last modified
5/27/2021 2:15:15 PM
Creation date
5/27/2021 2:11:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0535870
PE
2950
FACILITY_ID
FA0020654
FACILITY_NAME
CHANDLER PROP (WILCOX IND PARK)
STREET_NUMBER
2380
Direction
N
STREET_NAME
WILCOX
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10102174
CURRENT_STATUS
01
SITE_LOCATION
2380 N WILCOX RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Advanced GeoEnvironmental, Inc. <br />Stockton, California 95215 • Phone (209) 467-1006 <br />Brea, California 92821 • Phone (714) 529-0200 <br />Street, Santa Rosa, California 95404 • Phone (707) <br />Center, NH 1, Monterey, California 93940 • Phone <br />www.advgeoenv.com <br />CO ‘ - \ 43 c <br />ClIALN <br />Date. <br />OF CUSTODY <br />II 'I LI • i / Page <br />RECORD <br />i of i ' Fax (204) 467-111g <br />Fax (714) 529-0203 <br />570-1418 a Fax (107) S70-1461 <br />(800) 511-9300 • Fax (831) 394-5979 <br />Fi 837 Shaw Road, <br />O 381 Thor Place, . <br />— Analysis Required <br />, <br />in 2318 r mirth <br />' k.:: <br />395 Del Monte <br />t <br />r'" <br />.0 <br />. '‘'.ta <br />NI <br />Project Name ca I it i <br />(..,..,t6•14 6 r <br />Project Manager ..,-s <br />Ko9Gte.--i-- Er MA <br />Client Sampler (ini(ials & signature) J <br />C441 0 4) <br />Invoke to: X-A(r, 11 Citnt <br />Lab Project No.: a <br />Sample III/t octitioniner.criprion Llate lime Matriv Nomher Notes <br />61 - W C t -1.---1 I 1324? lisi Li >c- <br />P2;'—‘xl 6 1-(3-11 <br />Relinquished by: a xi/v3 L_ Date: <br />2b )9 <br /> <br />1 n <br />Time: <br />70o <br />Laboratory: <br />Courier Received by: Date: Time: <br />Relinquished by: D-41lt: Time: Received by: Date: Time: <br />Relinquished by Lisle: Time: Received by: . <br />\ r <br />,....-..., <br />Date: <br />'t- 1C-11 <br />Time: <br />Reque.5ted Turn Around Time i cii de). 24 hours 0 hours 72 lioc.<_ days (standardr))ther: Matrix Codes: A = Air W = Water S - Solid <br />Spexial lase actions to lab: !hereby authorize the performance of the txwe indicated work. <br />Getaracker EDf ti, ti ast ... . Ati."4.14"'‘zp',,2•" von) PC-11 cs Global la
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