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ARCHIVED REPORTS_XR0006699
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006699
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Entry Properties
Last modified
5/5/2020 10:17:45 AM
Creation date
5/5/2020 9:37:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006699
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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• Condo*Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle Suite I <br /> P O Box 3905 1 Sonora, California 95370 Stockton, CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 03866 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth com(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: J SEND RESULTS TO / <br /> �%fi L c/, NAME l� <br /> S1 OFFICE , ®f,r...� � ';, 7 ,- [- <br /> LA <br /> ;, 7 ,- [- <br /> ❑ PLEASE FAX RESULTS PROJECTS -�c . ` �✓ i ��� <br /> 76C <br /> PROJECT NOS ✓ Verification <br /> NO cti <br /> 7/ T/ <br /> SAMPLED B of <br /> con- <br /> (Signature tarn- Q` o <br /> Date Time Sample ID ers U� REMARKS MISC <br /> 1! 2— &e_ 15fY IA <br /> X 5 ,A ( <br /> C r' <br /> 0 "f <br /> Relinquished` 3 Datgg Time Received By Date Time <br /> (St nature , ' /7�l�C �' (Signatures <br /> Relinquished By Date Time Received By J� Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Rcceived By Date Time <br /> (Signature) (Signature) <br /> C)rwjnnl-Send Yellow-File Pink-1 nv Rnnk <br /> I <br />
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