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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CALIFORNIA
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1506
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2900 - Site Mitigation Program
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PR0544151
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Last modified
2/14/2019 7:34:55 PM
Creation date
2/14/2019 4:24:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544151
PE
2950
FACILITY_ID
FA0025104
STREET_NUMBER
1506
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
1506 N CALIFORNIA ST
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Condor Earth Technol gies, Inc. <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane 88 Frank West Circle, Suite I <br /> P.O. Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> No 6729 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: ^ SEND RESULTS TO: <br /> NAME: 10-14 Da�e <br /> OFFICE: <br /> PLEASE FAX RESULTS: PROJE T: <br /> PROJECT NO. Lj- <br /> NO. c ' ✓ Verification <br /> SAM�turEe) <br /> Y. of <br /> (Sign con- <br /> tai <br /> Date Time SahVleers N p�b� �� \ REMARKS : MISC. <br /> b o - fi <br /> to _9, -r� I <br /> p 4.L64 - 10 -14, 1 X 4,, l bOc, in <br /> 13 <br /> Relinquih ed By: Date: Time: Received By: Dat Time: <br /> (Signature Ci G 170-6 (Signature) Via LO La 17 <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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