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EHD Program Facility Records by Street Name
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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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LSauers
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EHD - Public
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Condor Earth Technologies , Inc . <br /> CIIAIN- OF- CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> 514 4 P.O. Box 3905 / Sonora, California 95370 Stockton, CA 95206 2. <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> • info@condorearth.com (e-mail) condor@condorstockton.com (e-mail) <br /> SHIPPED TO : SEND RESULTS TO : <br /> or ' i"anr NAME : moi` e <br /> 2050 90�lelr_ " A AVS6 OFFICE : a <br /> Celst5,6A 953D7-- <br /> ❑ PLEASE FAX RESULTS : PROJECT : Cnjay > <br /> PROJECT NO , 0 J(_ N0 . ��� , \b <br /> ✓ Verification <br /> SAMPLED BY • con- <br /> of ti <br /> 4 <br /> (Signature) twin- <br /> Date Time Sample ID ers REMARKS : MISC . <br /> eL c GI g -YtS flu c- <br /> E <br /> S , 0 o7 <br /> Relinquished B Date ^- Time : Received By : Y Dpl )65 Ti(Signature) Z OS 0 ® (Signature)Relinquished By : Date : Time : Received By : Time: <br /> (Signature) (Signature) <br /> Relinquished By : Date : Time : Received By : Date : Time: <br /> (Signature) (Signature) <br /> Original -Send Yellow-File Pink-Log Book <br />
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