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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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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 /> N2 5882 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: s SEND RESULTS TO: <br /> NAME: /<reS� <br /> OFFICE: �➢�,! � <br /> [ PLEASE FAX RESULTS: PROJECT: HOE (JS 7".ZvVM7_141 - ^J <br /> PROJECT NO. c�315 N0. O� ✓ Verification <br /> of 4� <br /> SAMPLED BY: co �� <br /> con- Q' <br /> (Signature) I�Ael tain- <br /> Date Time Sample ID ersj REMARKS: MISC. <br /> -7102103 :00 3151 =GPS— o a3 V"KI>< �S 4 CIU <br /> 0 03 :q O 3 l-7 GP o 03 <br /> =00 SIT--GP --7 a f3 <br /> GUNK .gyp —/W it—:: <br /> E <br /> Relinquished By: Datr. Time: Received Date: Time: <br /> (Signature) — Z ZO (Signatur <br /> Relinquished By: ate: 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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