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ARCHIVED REPORTS_XR0006673
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006673
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Entry Properties
Last modified
5/5/2020 10:39:58 AM
Creation date
5/5/2020 9:25:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006673
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
Scanner
LSauers
Tags
EHD - Public
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�� ..� �. � ww wwn w�i� w w �� w w w w �■ <br /> i7ondco Earth Technologies, Inc. <br /> CHAIN—OF—CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard _W188 Frank West Circle, Suite I <br /> P 0 Box 3905 Suite G Stockton,CA 95206 <br /> N° 3624 Sonora, California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 209-532-0773 (fax) 209-668-9257 (fax) condor@condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO. 1 (D C' <br /> Cn e�& v�.� - NAME. C, - — <br /> OFFICE. <br /> i <br /> ❑ PLEASE FAX RESULTS PROJECT C-�-�-�-?a_ .t , c_ S- <br /> PROJECT NO <br /> .� O _1S c, ✓ Verification <br /> of <br /> SAMPLED BY , �� con- ��' i <br /> (Signature) lain- Q` <br /> Date Time ample ID ers 'L REMARKS MISC <br /> -' ic7 Iia ~V`�w - u <br /> `tc� 11-- uj 1-7jl l 3 <br /> Relinquished By - Dat Time Received $rte 1 Date Time <br /> (Signature) t7 L j �j, (Signature) '� %� , o )('{`;�_ `j --)c c( l V' <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 /> Original-Sent! Yellow-File Pink-Log Book <br />
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