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2900 - Site Mitigation Program
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PR0517323
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/14/2019 3:46:08 PM
Creation date
2/14/2019 9:40:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517323
PE
2960
FACILITY_ID
FA0013339
FACILITY_NAME
MT HOUSE SITES 1-6
STREET_NUMBER
0
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
BYRON RD
P_DISTRICT
005
QC Status
Approved
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WNg
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EHD - Public
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WrIV low. <br /> Coni Earth Tech+ b ig s, Inc. <br /> CHAIN-OF–CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard !8 <br /> 8 Frank West Circle, Suite I <br /> P.O. Box 3905 Suite G Stockton, CA 95206 <br /> Sonora, California 95370 Turlock, CA 9581 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 209-532-0773 (fax) 209-668-9257 (fax) condor@condorstockton.com(e-ma <br /> SHIPPED TO: SEND RESULTS TO: ��F� �I�►-�-�� <br /> NAME: <br /> 71 Z—&C a —J� 4 r OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO. NO ��. r � ` ✓ Verification <br /> 10, S <br /> SAMPLED BY: ----'` on- <br /> - .�:f' / � <br /> (Signature) ' ; rr s rc-� ,- taro- Q� <br /> Date rime Sample ID ers REMARKS : L�yisc- <br /> =t4AdL <br /> XI <br /> I <br /> Relinquished By: a -� Date: Time! Received By: Date— 'Time: <br /> (Signature) —� :" ' ;. r' (!. (o Jf �,' (Signature) <br /> ff ;. . = <br /> 4E <br /> V P7 <br /> Relinquished By. �/ __- Dat / Time: Received By: Da Time: <br /> (Signature) –"–% j .� 0 2 ./cJ •�( (Signature) /z/1, <br /> - <br /> Ref inquishe'd By: Date: Time: Received By: bate: Time: <br /> (Sig natufc) _ (Signature) <br />
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