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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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Condor Earth Technologies, Inc. PR.ye ,-f <br /> CHAIN-OF-CUSTODY El 21663 Brian Lane 1125 N.Golden State Blvd.,Ste.B Agro Environmental Q 1100 C Airport Blvd. <br /> P.O.Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> N4 03795 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 /> i <br /> SHIPPED TO: `` SEND RESULTS TO: R3 Sy b <br /> G e-o� "( ;Cel 1 NAME: r <br /> OFFICE: T ,r oc /< <br /> BILLING INSTRUCTIONS: r ll � <br /> PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: T -�`f �I I <br /> PROJECT NO. tis. OTS' q <br /> a A <br /> 7NO. <br /> SAMPLED BY: con- $Q ti C74 <br /> (Signature) tain- Q k� �4 Sk�w4`Z <br /> Date Time Sample ID ers REMARKS : MISC. <br /> la-ia —r/ ;2. 4 ah7A -CrI-ia -z <br /> 4 '3 ;t y 7 R -CFA -/a is / Ac 5 1 <br /> � : •�L 57� - G;-� - lataq i <br /> CCVW os' E - <br /> 3 ; 0 3 Y7A — C re- t2 6 C) <br /> 3 : o 0 h 7A - <br /> .3 : iv X74 -C,<:ip .,� <br /> 3 ; / 7 5"7 — �Y/R 7 a o1 IF <br /> Dal <br /> Time: Received By: ' Date: Time: <br /> Relinquished By: n <br /> (Signature) <br /> Relinquished By: Date: Time: I 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 GMOLI GRMHIC5 I0a9I 5777 FORM JGS2 <br />
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