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3500 - Local Oversight Program
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PR0544571
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Last modified
6/25/2019 8:29:57 AM
Creation date
6/25/2019 8:11:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544571
PE
3528
FACILITY_ID
FA0000214
FACILITY_NAME
PILKINGTON NORTH AMERICA INC PLANT 10
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-9739
CURRENT_STATUS
02
SITE_LOCATION
500 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\wng
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EHD - Public
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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 /> 09416/ 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 /> rx E L t Itt 1-1 NAME: <br /> L St"JILGE, (A OFFICE: c,n <br /> PLEASE FAX RESULTS: PROJECT: PPA tw -',t L_ <br /> PROJECT NO. 4 ✓ Verification <br /> of ti <br /> SAMPLED BY: t e � con- <br /> (Signature) . �u#.l �h��'` a <br /> tain- Q <br /> Date Time Sample ID ers h� REMARKS: MISC. <br /> MW 3 Z <br /> i <br /> }Y �� r*.C,WA Z <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Si nature) �� � ": " '�' ^r• I)firf v� /tj (Signature) <br /> Relinquished By: I 'J Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time:fkv <br /> � 5 <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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