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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
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EHD - Public
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• Conde Earth Technologies, Inc. • _ <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite + <br /> P O Box 39051 Sonora,California 95370 Stockton, CA 95206 (I)� <br /> N° 6649 209-532-0361 209-234-0518 /0 J +� <br /> ��pp 209-532-0773 (fax) 209-234-0538 (fax) <br /> i <br /> L��[V inn 34 �inG}5 info@condorearth com(e-mail) condor@condorstockton co e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> - - jsxce�] CAQM NAME S re_ e <br /> OFFICE 511"'k-70r) <br /> �Kr PLEASE FAX RESULTS PROJECT 9 — c_ <br /> PROJECT NO NO 5 0 Z_ ✓ Verification <br /> SAMPLED BY of , <br /> (Signature) con- <br /> tain- <br /> Date <br /> on-tarn-Date Time Sample ID ers REMARKS MISC <br /> 13.15' 1-147--mw t - tiuoS 4150 TlVeS L 05010501 <br /> 1 ;13 <br /> 170_ -KW1--"j1AjC1 ' M � oe- ORMUZ <br /> 1J{ l b —MV3Lt 11-LA tDS fJPbplMil4 <br /> Id;oS ! o -vwx 9 - 11211 o's" D 'sApr. 00 bo- <br /> /3 05 lTa--t— <br /> 13 z$ Ido''-iltiwtz0_ tj-z' 013 � +SUS' Ib des �4 -0 <br /> t1�1 1 r <br /> �E To ra o oa cot <br /> Relinquished By Date Time ,r� Received By Date Time <br /> (Signature) 2 y 0 b 10 W (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Die Time <br /> (Signature) <br /> (Signature) s- 1 <br /> Ot iginal-Send Yellow-File Pink-Log Book <br />
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