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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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Y Condor Earth Technologies, 1nc. 11`GM$_,_ <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 /> 0 9 4 1 6 209-532-0361 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 /> ExGELC-0E A NAME: baN KaFe-SE <br /> 12osC\tt,ui . CA OFFICE: STbQgmr►I CA <br /> PLEASE FAX RESULTS: PROJECT: PKA pIESEL <br /> PROJECT NO. . oMy\ ✓ Verification <br /> I cg 38G NO. <br /> SAMPLED BY: d <br /> con- <br /> (Signature) tai <br /> oon- <br /> (Signature) a' <br /> taro- <br /> Date Time Sample ID ers r, REMARKS : MISC. <br /> 11/a /05 11:28 HW-1 '� x -01 <br /> 12:219 MW-2 2— Z <br /> 11-.52.. MW -3 2- 6/ <br /> 12.51 S�-Sump <br /> 2- <br /> iv <br /> jv 48 S SUM? 2 — <br /> Relinquished By: Date: g: Received By: Date: Time: <br /> (Si nature) °" 11/10/65 (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) CJS �Q <br /> Relinquished By: Date: Time: Received By: 'V " "' Mw . r7L Time: <br /> : J <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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