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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009276
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Last modified
6/25/2019 8:43:45 AM
Creation date
6/25/2019 8:17:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0009276
PE
2960
FACILITY_ID
FA0012033
FACILITY_NAME
PILKINGTON NORTH AMERICA
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19812008
CURRENT_STATUS
01
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.CHAIN-Or-CUSTODY <br /> 21663 Brian Lane 125 N.Golden Slade Blvd.,She.11 Q Agro Lnviromnental 11110 C Airport illvd. <br /> I `��)•7 <br /> P.O.Box 3905 P.O.Box 3448 5051 N.Pershing Ave.,C-3 P.O.Box_30035 <br /> N4 l.�`-' C- Sonora,California 95370 Turlock,California 95381 Stockton,California 45207 Peasacoh.Florida 32503 <br /> (209)532-0361 (209)668-4234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: <br /> C S� r- 2-4.�-T c_�L. NAME: '' �f� <br /> Z7s � <br /> OFFICE:'~ <br /> CA BILLING INSTRUCTIONS: <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: <br /> PROJECT NO. C" <br /> Z� NO. -� v <br /> SAMPLED BY: ^ of <br /> C( 11_ <br /> (Signaltlre) Atails- <br /> Date '1'iluc Sanll�lc ID ers _O REMARKS : h41SC. <br /> r -y_• <br /> Lk.e t a4 �_rt <br /> RelinquishedFay: F)at Tune: Received By: Datc: Time- <br /> / 110 (Si 7m ilure) <br /> Relinquished Icy-- - )ale: Time: Received By: Date: Time: <br /> {Si n�llurc} _— - _-- _ (SignaUlrc) -- � _ <br /> Dale: I'imc: Received By -�- D' c: Time: <br /> Relinquished Fay: I <br /> (5i nalurc) - (Sign, <br /> e-�•.. - �` l <br /> Original-Send Yellow-File; Pink-Log Book ORRDLI GRAP141CS(209)5277667 FORM J692 <br />
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