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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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► t t t [ [ I t t t t t i t t t t i t <br /> Condor Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P.O. Box 3905/Sonora, California 95370 Stockton, CA 95206 <br /> N2 6723 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: 1 t' <br /> OFFICE:_j <br /> PLEASEFARESULTS: �� PROJECT: 3e� <br /> PROJECT NO. G � NO. ���. ✓ Verification <br /> y� <br /> SAMPLED BY: fcon <br /> (Signature) tain- <br /> Datelime Sample ers REMARKS : MISC. <br /> b p0 - 4 • <br /> 5� <br /> D -i3 ' 1 <br /> . -4- t <br /> -4NK *VXX 1X11 <br /> 040 33- IS4 <br /> Relinquished By: Date: i Received By: Date Time: <br /> (Signature) �/ t (Signature) ��� Q <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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