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ARCHIVED REPORTS_XR0006703
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_XR0006703
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Entry Properties
Last modified
5/5/2020 10:20:31 AM
Creation date
5/5/2020 9:42:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006703
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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• S �— 1105��z , <br /> CO11d�- Earth Technologies, I <br /> n c. <br /> CHAIN-OF-CUSTODY D 21663 Brian Lane <br /> (�� 188 Fr ink West Circle SUML 1 <br /> PO Box 3905 / Sonora Calitorm c 95370 Stockton CA 95206 <br /> 09343 209-532-0361 209-234-0518 <br /> 209-532 0773 (fax) 209-234-0538 (fax) <br /> info@condorearth coni (c. 111.111) condor@Londorstockton com (e mai]) <br /> SHIPPED TO. SEND RESULTS TO <br /> NAME �C a <br /> Cos) OFFICE <br /> Ce re-- s7 G4 TA C 1 fZ�7 <br /> ❑ PLEASE FAX RESULTS <br /> c4 rI dot ��„2 Ta <br /> _e ,.t„_, I l c�A� co-dete PROSECT Cti-L tc,`�` G {,✓ /ice f„, — <br /> PROJECT NO rJ f�- <br /> !— NO S o G J Verification <br /> ["SAMPLED BY of v <br /> (Signature} Ltam- <br /> �Q' r, <br /> P bDateTime Sample ID REMARKS MISC rt ZI <br /> X Z T o $ZG t <br /> FTR f5- <br /> Rehnquishe y D to Time <br /> (Si natu Received By � Da[ Time <br /> 4f _ (Signature) <br /> Relinquished y Date Time <br /> Received By Date <br /> (Signature) (Signature) Time <br /> Relinquished By Datc Time Reccsvcd By Date Time <br /> (Signature) (Signature) <br /> 01 iginal-Send Yellow-File Pint.-Log Boot. _ <br /> F 1 102- <br />
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