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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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CHAIN-OF-CUSTODY <br /> Condor Earth Technologies, Inc. <br /> ❑ 21663 Brian Lane1125 N.Golden State Blvd.,Ste-H 'Agro Environmental 1100 C Airport Blvd. <br /> W P.O.Box 3905 P.O_Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> Li J V Sonora,California 95370 Turlock,California 95381 Stockton,California 95207 Pcnsacola,Florida 32503 <br /> (209)532-0361 (209)668-9234 (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 /> NAME: <br /> OFFICE: <br /> Z-K,406,55 6 7-V BILLING INSTRUCTIONS:- <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: - �4 <br /> PROJECT NO. <br /> NO. <br /> SAMPLED BY: Of <br /> con- ��vgtiw�'� C4� <br /> (Signature} twin- �w`�- � ,`}'�q� <br /> Date/ Time Sal ple I ers � O REMARKS : MISC. <br /> /zA, pl 8 - 'f'�P6- x I <br /> T Se—C7r-6 <br /> 5-1 <br /> +'� /l'7f 1 ��� �X47 3 f? '.�T� .•/�'-�"7'7/ � `-��F� r <br /> e;'Ci" Vo I IX I I I I <br /> x-, 34334 <br /> Relinquished ByDate: Time: Received By: Da Time: <br /> (Signature) (Signature) <br /> Relinquished By: �� Date: Time: Received By: Date: Time: <br /> (Signature) ". (Signature) <br /> Relinquished P3 : Date: Time: Received By: Datc: Time: <br /> (Signature) (Signature) q '" <br /> Original-Send Yeltow-File /� !n l I tyr,� (A jo;jog Book GAAOLI GRAPHICS(209)52T3N7 FORM J692 <br />
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