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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0009276
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/25/2020 10:32:35 AM
Creation date
6/25/2019 8:20:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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
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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CHAIN-OF-CUSTODY <br /> Condor Earth Technologies, Inc. WilIan <br /> LI 21663 Brian Lane X1125 N.Golden State Blvd,Sm.if � Agro Environmental � 1100 C Airport Blvd. <br /> NQ 0 3 814 P.O.Box 3905 P.O.Boz 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> Sonora,California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola,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 /> G'e an 4 y , G�� 1 NAME: Be b To b <br /> OFFICE: Tu r 10C {G <br /> BILLING INSTRUCTIONS: <br /> ❑ PLEASE FAX RESULTS: LA.VORATORY REPORT NUMBER: UR� <br /> PROJECT NO. <br /> a h 7 Ar NO. �gti`O�V v Pg4 O <br /> Of <br /> SAMPLED BY: 11 co ,ham <br /> (Signature) e)o„ tain- Z� Sq��qZ` <br /> Date Time Sample ID ers 4, O REMARKS: MISC. <br /> 3 as yT !D : 30 2.6-7A - C-53-3 - 3/44f—L— <br /> it <br /> GS 33 — x TEt°f+ Jb K vo4xax+@ U� <br /> r/ : 'FO �S7 -- GS3'It-3 40 Z IAXINtse/ <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: n a g � } Date: Time: <br /> (Signature) (Si ' '[ <br /> Original-Send II I I / Yellow-File Pink-Log Book . , 0M 1 OR"HCS IMI 501.WO FORM JMM <br />
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