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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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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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[ [ [ IE ( [ 1 t E t E [ E 1 1 t t t <br /> Condor Earth Technologies, Inc. <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane k/188 Frank West Circle, Suite I P <br /> N! 6 7 3 <br /> P.O. Box 3905 /Sonora, California 95370 Stockton, CA 95206 d� <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@ con dorstockton.com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO: <br /> �� Lp'r-5,5 NAME: <br /> OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT: Jo <br /> PROJECT NO. 41 c�• ✓ Verification <br /> SAMPLE B . r of <br /> (Signature ,con- <br /> tain- <br /> Date <br /> on- <br /> tain-Date Time Samp ers REMARKS: MISC. <br /> o9 a - - 1 N-D TA T <br /> _ i te <br /> 16 a b 3�- lel- 1t <br /> IMP -zo—1 to l� <br /> KLVi6u\S <br /> , j <br /> Relinqui ed B DatV. Time: Received By: Da Time: <br /> (Signat S.US (Signature) QS I S'os- <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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