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ARCHIVED REPORTS_XR0006712
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006712
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Entry Properties
Last modified
5/5/2020 10:27:33 AM
Creation date
5/5/2020 9:45:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006712
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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Condys Earth Technologies, Inc. 0 <br /> CHAR-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P O Box 3905/ Sonora, California 95370 Stockton, CA 95206 <br /> N2 6910 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> mfo@condorearth com(e-mail) condor@condorstockton coin (e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> Ag-Gond LABS NAME <br /> egx�55r- <br /> C&-tA6 - � OFFICE GN <br /> PLEASE FAX RESULTS PROJECT e::::Z"6DA —&ajAd T . <br /> PROJECT NO' ✓ Verification <br /> i X <br /> Zo M ofo 45 <br /> SAMPLED BY ► con V <br /> (Signature) i tam- Q' <br /> Date Time ample ID ers � REMARKS MISC <br /> -�•a� 9:33 <br /> 1701C,- - 1/0510f Sox • <br /> K G <br /> 9:z5 t Y <br /> L <br /> 0. <br /> Relinquished By, Date Time Received By Dat Time <br /> (Signature) Q �5� (Signature) <br /> Relinquished By' Date Time Received By Date Time <br /> (Signature) (Signature) <br /> RelinquishedBy Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Of iginal-Send Yellow-File Pink-Log Book <br />
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