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ARCHIVED REPORTS_XR0006692
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006692
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Entry Properties
Last modified
5/5/2020 10:29:25 AM
Creation date
5/5/2020 9:33:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006692
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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• Condoarth Technologies, Inc. , <br /> CHAIN-OIC-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard f 188 Frank West Circle, Suite I <br /> hh� <br /> P.O. Box 3905 Suite G Stockton,CA 95206 <br /> N 4478 Sonora,California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 5 - clrd TA fxt) 01209-532-0773 (fax) 209-668-9257 (fax) . ,'� 1 condor@condorstockton.com(e-mail) <br /> SHIPPED TO: 6 Y�1#���t� SEND RESULTS TO: V <br /> �C 1 chem NAME: <br /> Rom�� ale C14 OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT:CG.117 C4 Re, s P13 C C_ <br /> PROJECT NO. ✓ Verification <br /> NO. �S�S <br /> SAMPLED BY: of <br /> / /T .�t' �iccon- <br /> (Signature) O' ( twin- <br /> Date Time Sample ID ers REMARKS: MISC. <br /> • �- <br /> Z-02. 19 30 17,Q7---&4 _ 7 <br /> W 01021 z <br /> • 7-3 -02- 132 70 -7Yw_3 -7 ' / ►�oTG���, <br /> 7- 2,-62- X74-5 j7r27- -'7Z �i �Oz 21 <br /> • 7- 2.nel 100 170 - ✓`l - 7 z Q 1 <br /> 7- -'3—011 U:1C> 0 �1.31bs �,,bjc 2 <br /> 7- -011,5),0 !70 -.H Z"' 7 Z <br /> 7- 1 -02, )530 N,0 1Ci1 3 <br /> . 7 3 -j52 09 25 i 70 AV11 -7 ) ac -�.� 'C 62k. <br /> 7-3 - a&3o 1707- �/�;rII� -7 0t2iAr <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) 7 3 (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: - `�� Date: �m� _ <br /> (Signature) . (Signature} #-'.� :J, <br /> Original-Send Yellow-File Pink-Log Book <br />
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