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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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Last modified
5/5/2020 9:46:00 AM
Creation date
5/5/2020 9:07:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0543479
PE
2960
FACILITY_ID
FA0024679
FACILITY_NAME
CANEPA'S CAR WASH
STREET_NUMBER
6230
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
081360030
CURRENT_STATUS
01
SITE_LOCATION
6230 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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�L <br /> j-+ , WHF Environmental Consultants , Inc . <br /> i <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto , . CA 95355 -6729 <br /> (209) 579- 8138 <br /> PROJECT NAME : 7 ? !c s-L <br /> SAMPLERS ( signatyre ) 'ay�� L4 <br /> Number <br /> of (? \ REMARKS <br /> Station r DO 1 0 1( (� 1 <br /> Number Date Timeo Station Location Con- � /� n <br /> v c� tainers y S <br /> ll - I <br /> s 3 � S� ; S��,. i r 2 �.. .k x k� � S .� • <br /> GL721s - <br /> � <br /> All <br /> Relinquished .,jb�j ( si ,gnature ) : Date / Time Received by ( signature ) : Relinquished by ( signature ) : Date / Time Received by ( signature ) : <br /> Co pp y griAgency : Company or Agency : Company or Agency : Company or Agency : <br /> � i < /lirr <br /> Relinquished by ( signature ) : Date / Time Received by ( signature ) : Relinquished by : Date / Time Received by ( signature ) : <br /> Company or Agency : Company or Agency : Company or Agency : Company or Agency : <br /> Relinquished by ( signature ) : Date / Time Received for La ra-�"�Curyrr/y_ by : Date / Time Remarks /Shipping Information <br /> Company or Agency : ( Sig , <br /> n'✓ � ; l° " .7 //�� ✓ , <br /> i <br />
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