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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SAN JOAQUIN
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640
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2900 - Site Mitigation Program
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PR0518459
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Last modified
11/30/2018 4:49:51 PM
Creation date
11/30/2018 4:03:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0518459
PE
2950
FACILITY_ID
FA0013913
FACILITY_NAME
HERITAGE SQUARE
STREET_NUMBER
640
Direction
N
STREET_NAME
SAN JOAQUIN
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13916110
CURRENT_STATUS
01
SITE_LOCATION
640 N SAN JOAQUIN ST
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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Condor Earth Technologies, I C0101 �7 <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 1 125 North Golden State Boulevard 188 Frank West Circle,Sulte t <br /> P.O. Box 3905 Suite G \ Stockton,CA 95206 <br /> No ` .. 9 3 t;,,., ('alifornia 9, " Turlock, 95331 '^) 234-0518 <br /> - ^n 234-0538 UnNI <br /> rl3ti 1 209—(�h`' ""', <br /> i 209-532-0773 (fax) 209-668-9257 (fax) condos@condorstocklon.com(e-mail) <br /> "1'(}: I-N'�7_RLSUI.TS TO: <br /> 0 i F i C F — D - '-.�-- <br /> ' U PLEASE FAX RESULTS- PROJECT: <br /> .j <br /> PROJECT NO. E-5?2 f) ✓ Verification <br /> SAMPLED BY: f "' coon- <br /> (Signature) tain- Z: <br /> Q � o L REMARKS: M[SC. <br /> �7 Date yTime (]� ` Sample ID <br /> ers �C �/� /,�` r 2 <br /> /� - ! ITJ,��� fiG�} aC��� 1� �a�/�1aff Zi7 <br /> -7jz(lo 4ebb '�-� s-2- z� 5' x X TWT z <br /> z-to1-z3q -Ta-Z) 5--i- \S Z33 <br /> `t Z ?; r <br /> Relinquished By: Date: Time. Rcccivcd By: Date: Time: <br /> (Signature) +-�� �-�- 7 26 a /6:�� (Signature) 7 Z4/yZ <br /> Date <br /> Time: Received Dj(Z. p/ Time: <br /> Relinquished By: r �� Z f [[ <br /> (Signature) : v / 0— (Signatur+ <br /> Relinquished By: Daic: Time: Rcccivcd By: Date: Time: <br /> (Signature) _ (Signature) <br /> \ Origitta!-Send Yellow-File Pink-Log, Book <br />
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