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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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Condor Earth 'Technologies, Inc. <br /> CHAIN—OF—CUSTODY ODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard 188 Frank West Circle,Suite 1 <br /> P.O,Box 3905 Suite G Stockton, CA 95206 <br /> N 0 4445 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: <br /> NAME: 4 e t c <br /> OFFICE: r1r= n �✓>'. T rr^ 5 <br /> �, -4 35 .� <br /> ❑ PLEASE FAX RESULTS: PROJECT: LCS.8 �� ' ' ��`� & n <br /> PROJECT NO. ( Verification <br /> NO. <br /> SAMPLED BY: of �y <br /> (Signature) �� con- %3 <br /> �- tai <br /> n-ers REMARKS: Misc. <br /> !� <br /> Date Time Sample ID _ i <br /> X <br /> I VPL C 1-70 Ail - �lr(K"s I <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Si nature (Signature) �;, �• ji�r i <br /> Relinquished By: r— Da e: Time: Received By: Date: Time: <br /> {Si nature) ��✓ 'r`` lZ t7" � : (Signature) .-�— /�A z ;2 <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signal (Signature) <br /> Or=tWI-Send Yellow-We Pink-Log Book <br />
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