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ARCHIVED REPORTS_XR0006684
EnvironmentalHealth
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006684
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Entry Properties
Last modified
5/5/2020 10:08:21 AM
Creation date
5/5/2020 9:30:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006684
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
Tags
EHD - Public
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■� ter• f�� � fid ti � � <br /> Condo arth Technologies, incti <br /> CHAIN-OF-CUSTODY <br /> l -- <br /> 21663 Brian Lane 14 188 Frank West Circle Suite 1 ❑ 1100 Airport Blvd Bldg C <br /> Sonora Califoriva 95370 Stockton Caltfomia 95206 Pensacola,Florida 32504 <br /> 4343 (209)532 0361 (209)234 051 9 <br /> (850)477 0454 <br /> FAX(209)532 0773 FAX(209)234 0538 FAX(850)477 0534 <br /> email condor@mlode coni email condorl @)ps net email condorpnca@aol coin <br /> SHIPPED TO: SEND RESULTS TO <br /> � eo � ha�_�rfilc� � fah NAME QaVe /Y)e,cA�e <br /> T <br /> -- m °�"� - �� OFFICE <br /> ❑ PLEASE FAX RESULTS PROJECT 17 0 7 C a n e of - a c i {'i <br /> 7� NO �5�s V Verification <br /> PROJECT NO <br /> SAMPLED BY of <br /> (Sig.nature) Coll- <br /> a- <br /> on- "� 0 <br /> -- tain- Q` r`r(/Q� �b <br /> Date Time Sample ID erS C� REMARKS MISC <br /> j �/21 / 9 91.45 1707-(nW /q9 2_ X x x A, 0 xe to n� r <br /> 170 7-fAW2-'f11zr q9 2 x X XAjeve <br /> y/i1199 13.2,7 1707- (nWb-``2f /9q 2 x X x <br /> V/z l/q 9 1 q : 36 170 -7-m W 7-11/Z,/q x _1_5 <br /> q/71/9 1 15 3D )707-MW3--g1v/3q Z x x" XI M�_ <br /> q/71/9q ' 16 20 170 Xl x �( <br /> i <br /> Reknyuishc d B _ Df�e �� Time ReCLived Bye <br /> NgnaturL) !GJ' ' S .3OPM (Signaiure) � Dr e t' � Mme <br /> RdinyuitiLd By Date Time Received By Date Time <br /> (Si gn.iturc) (Signaturti) <br /> Rdinc)uiOL4 d By Date Time Received By Date Tinle <br /> (Suture ) (Signature) <br /> Olegrrial Senel Yellow-File <br /> Pink-Loi Book <br />
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