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ARCHIVED REPORTS_XR0006698
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006698
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Entry Properties
Last modified
5/5/2020 10:28:16 AM
Creation date
5/5/2020 9:37:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006698
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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Condd* Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite i <br /> P O Box 3905/Sonora, California 95370 Stockton CA 95206 <br /> 08820 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth com(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME <br /> ?b%'Jilk CA OFFICE fArxk*s.a CA2r 6/0G <br /> PLEASE FAX RESULTS PROJECT (2A!WW_-,W_-, :PkSt' -� <br /> PROJECT NO 1707NO �S�S cpz 7ZZ <br /> J Verification <br /> of <br /> SAMPLED BY jtno!/,r -, con- P <br /> (Signature) tarn- Q� �� <br /> Date Time Sample ID ers REMARKS MISC <br /> MW—k 6v" X K * <br /> 25 <br /> 1 3� eelrr CO` <br /> '21 *:K-sqr <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) 1-27-CO G;qs (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (St nature) (_a-�`6&' (Signature) <br /> Relinquished By Ddte Time Received By Date Time <br /> (Signature) I (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br /> E <br />
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