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ARCHIVED REPORTS_XR0009614
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PARK
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2900 - Site Mitigation Program
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PR0542235
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ARCHIVED REPORTS_XR0009614
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Entry Properties
Last modified
5/4/2020 3:22:48 PM
Creation date
5/4/2020 2:46:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009614
RECORD_ID
PR0542235
PE
2960
FACILITY_ID
FA0024262
FACILITY_NAME
CANEPA CAR WASH
STREET_NUMBER
248
Direction
E
STREET_NAME
PARK
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13906035
CURRENT_STATUS
01
SITE_LOCATION
248 E PARK ST
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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� � � � 1• [I• � ti• tib s tib � y <br /> CHAIN-OF-CUSTODY <br /> Condor arth Technologies, Inc. <br /> Q 21663 Brian Lane 112-5.N Golden State Blvd.Ste-H Agro Environmental 1100 C Airport Blvd <br /> _ NQ s �, '7 P 0 Box 3905 r��D'O x 3448 5651 N Pershing Ave.C-3 P O Box 30035 <br /> i Sonora,Califonua 95370 Turlock,Califomja 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)477-0574 <br /> SHIPPED TO: SEND RESULTS TO: <br /> N. E.AM <br /> QMCE <br /> ( 'm o BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS. LABORATORY REPORT NUMBER: <br /> PROJECT NO 5 <br /> f0 v�~��wv <br /> SAMPLED BY / con- OW <br /> 4 <br /> (Signature) tarn- <br /> Date Time Sample ID ers 40 oa' ' REMARKS MISC <br /> �C �; - 3513 <br /> I`!,1Jr,+� 139 I+'Li - '3 SI cl <br /> 3 3 21 t?i tv7 �) _ f _ 3 s/k5 <br /> > X10 wZ fl 3 51 r(- <br /> AfIv3sr � <br /> 1035 Ait 3 351KQ <br /> C � 5 <br /> � c 14 =3a lS5 <br /> iI <br /> Ir <br /> Relinquished 13y Date /` �ff Time Received Date Time <br /> By f <br /> (Signature) I(", I ff (Signature) 1011 3,b/7 1(;I K <br /> Relinquished By Date Time Received By Date Time <br /> (Si nature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Si nature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book osaou GRAPHICS MM W 3W RM JW <br />
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