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ARCHIVED REPORTS_XR0006701
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_XR0006701
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Entry Properties
Last modified
5/5/2020 10:22:14 AM
Creation date
5/5/2020 9:39:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006701
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
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EHD - Public
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Condo*Earth Technologies, Inc. O <br /> CHAIN—OF-CUSTOIDY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P 0 Box 3905 I Sonora, California 95370 Stockton, CA 95206 <br /> 09366 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth com (e-marl) condor@condorstockton corn(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME <br /> OFFICE <br /> ❑ PLEASE FAX RESULTS <br /> bcc�l�Q cotQAet�r�.,, PROJECT •4 <br /> PROJECT NO ✓ Verification <br /> ?M NO SSS <br /> v <br /> SAMPLED BY of Q� <br /> con- { <br /> (Signature) C-011 ►113 <br /> C-0111 tain- Q� <br /> Date Time Sample ID ers REMARKS MISC <br /> kc- <br /> MT'6f— will <br /> T <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) '1 -� '0� 1/70 (Signature) 12 z os 11 i Z <br /> Relinquished By Date Time Received By Date Time <br /> (Si nature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> nripirvil-Send Yellow-File Pink-1 no Rnnk <br />
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