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ARCHIVED REPORTS_XR0006708
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006708
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Entry Properties
Last modified
5/5/2020 10:22:11 AM
Creation date
5/5/2020 9:44:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006708
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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0 <br /> Condof Earth Technologies, Inc. <br /> CHAIN—OJ'C'—CUSTODY E) 21663 Brian Lane 188 Frank West Circle Suite I <br /> PO Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> 09394 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth corn(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME !12Er W ULP-t` <br /> 0'e e6 OFFICE <br /> �11PLEASE FAX RESULTS �,° PROJECT C w 46&PW- 1e__ - <br /> x <br /> a <br /> PROJECT NO � gQ�Le J NO tis ✓ Verification <br /> S <br /> SAMPLED BY of y <br /> �AGo13 ( fs Con- Q' O <br /> (Signature) , tain- "Z� <br /> Date Time Sample ID ers ��, REMARKS MISC <br /> 1 S'3 �..��I D, �- �� t r x K h� <br /> r� o sw L <br /> �l o,S <br /> IJ i P' <br /> T-,qYwE <br /> 5' <br /> Relinquished By � ��� ��r� Date e� Time Received By Date Time <br /> (Signature) (Signature) 08 ! /D5 1 Y :30' <br /> Relinquished By , Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) A (Signature) <br /> (7nam�l-CPnr] Yellow-File PinV-I na Rrnnk <br />
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