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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0544151
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Entry Properties
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
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WNg
Tags
EHD - Public
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I i t i t t i t t t t <br /> Condor Earth Tech 7188 <br /> logies, Inc. <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane Frank West Circle, Suite I <br /> P.O.Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> N! 6730 209-532-0361 209-234-0518 J (1 <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: ,L <br /> 5 NAME: -A ( ey- Dtvj IST T X5,4 <br /> OFFICE: ilk <br /> PLEASE FAX RESULTS: PROJECT: `� S <br /> PROJECT NO. r NO. ���. ✓ Verification <br /> ly <br /> SAM EDB �on- <br /> (Sign tain- Q' <br /> Date Time Sampl ers �4��` REMARKS: MISC. <br /> 6 SD �34 -1'1 s 1 Vl t� /kms <br /> S � 34 - i I <br /> D9©0 4L- f7- 9 t <br /> L-2 <br /> 1 Q�(114 <br /> JIS <br /> 4 ; ) <br /> Relinquished B Date' Time: Received By: Da Time: <br /> (Signature) (Signature) I Q� <br /> Relinquished By: �j <br /> 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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