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ARCHIVED REPORTS_XR0006719
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_XR0006719
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Entry Properties
Last modified
5/5/2020 10:35:44 AM
Creation date
5/5/2020 9:46:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006719
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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Conde Earth Technologies, Inc. <br /> CHAR OF-CUSTODY <br /> ❑ 21663 Brian Lane 188 Prank West Circle, Suite I _ <br /> `f P O Box 3905 1 Sonora, California 95370 Stockton, CA 95206 <br /> N 8 2 209-532-0361 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: f SEND RESULTS TO r f� <br /> r. NAME 6f_ {_ Q0�1 <br /> OFFICE ] a0 Irre;nL kltr1 Ct. fie <br /> Ce 57- e r G 952176 <br /> ❑ PLEASE FAX RESULTS Q0 PROJECT Ce e.- L✓ r 7 <br /> PROJECT NO <br /> 7L0 — <br /> NO <br /> 4s�s J Verification <br /> SAMPLED BY <br /> (Signature) con- <br /> tam- Q' <br /> Date Time Sample ID ers p� REMARKS MISC <br /> C <br /> 9 - 06 i7076-7— -- t <br /> 170 <br /> E TBE) <br /> 1 <br /> Relinquished r Date Time Received B Date Time <br /> (Signatur (Signature) R HIS <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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