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CO0000504
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0000504
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Entry Properties
Last modified
11/20/2019 11:22:00 AM
Creation date
2/13/2019 11:44:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0000504
PE
2531
FACILITY_NAME
UNKN
STREET_NUMBER
8000
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
ENTERED_DATE
8/17/1993 12:00:00 AM
SITE_LOCATION
8000 WAVERLY RD
RECEIVED_DATE
8/16/1993 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WAVERLY\8000\CO0000504.PDF
Tags
EHD - Public
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CHAIN-OF-CUSTODY <br /> Condor Earth Technologies, <br /> Inc. <br /> 21663 Brian Lane 1125 N.Golden State Blvd.,Ste.H ❑ Agro Environmental 1100 C Airport Blvd. <br /> Q P.O.Box 3905 P.O.Box 3448 5651 N.PershingAve.,C-3 P.O.Box 30035 <br /> N4 0 3 0 V►' Sonora,California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola,Florida 32503 <br /> (209)5:32-0361 (209)668-9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: <br /> OFFICE: <br /> BILLING INSTRUCTIONS: <br /> PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: <br /> PROJECT NO. -7%f Of 4y5 <br /> SAMPLED BY: con- <br /> (Signature) ,. A41t 1/%--, tam- �+ <br /> Date Time Sample ID ers ��w�4� �tiv fi>� ��' � V REMARKS : MISC. <br /> r - -- L`) S <br /> Wr <br /> A)WMAI -T <br /> 1,112 <br /> Relinquished By: Da Tilne: ReceivedB ,,��-yyr+ (. r� Daj' Time: <br /> (Signature) t �i , i'1 (Signature L'!l <br /> Relinquished By: ale. Time: Receival By: Date: 1,1111c: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) --- – (Signature) – — — ------ <br /> Original-Send Y, 11(m I il, <br />
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