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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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CondolgEarth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard X188 Frank West Circle, Suite i <br /> P.O.Box 3905 Suite G Stockton,CA 95206 <br /> N 0- 4479 _ Sonora,California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 51,� � '+ t 711 b) 209-532-0773 (fax) 209-668-9257 (fax) ` condor@ condorstockton.com(e-mail) <br /> SHIPPED TO: � ��� � 4 SEND RESULTS TO: <br /> _ <br /> C-Xce- NAME: D a/? I�l'cj�C <br /> 9vscu,'8e OFFICE: ` c., <br /> ❑ PLEASE FAX RESULTS: PROJECT: C s "f 'C- <br /> PROJECT <br /> PROJECT NO, / V Verification <br /> !&7 NO. 4 <br /> SAMPLED BY: <br /> ,r/� r of <br /> (Si nature) r 11 con- <br /> s t 7O-AA (,G�.11,� Iain- <br /> Date Time Sample ID ers REMARKS : Misc. <br /> 077�7 -�1/t - 0Z i ��i{.�Zi <br /> • 0 iS31707'SI/I- 72 02- 4� .L13 � <br /> • X10 707- <br /> H so OP-7- �V '- � 2 <br /> t� 07- -5yz- •2- 1 KU@42. <br /> Relinquished By: � - Date: Ti Received By: Date: Time: <br /> (Signature) 7•-3.-o2- <br /> (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) 1 <br /> Relinquished By: Date: Time: Received By: C I� Date: Time: <br /> (Signature) (Signature) i7 2. �- Z� <br /> Original-Send Yellow-File Pink-Log Book <br /> ,4 a <br />
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