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ARCHIVED REPORTS_XR0006722
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_XR0006722
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Entry Properties
Last modified
5/5/2020 10:22:57 AM
Creation date
5/5/2020 9:46:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006722
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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• Cond* Earth Technologies, Inc. • <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> PO Box 3905 /Sonora, California 95370 Stockton CA 95206 r <br /> N! 6877 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0535 (fax) <br /> info@condorearth com(e-mail) condor@condorstockton coin (e-mail) <br /> SHIPPED TO: SEND RESULTS TO } ,, / <br /> L NAME ..1 e� V" efi� <br /> OFFICE 0-Cf St e T <br /> ❑ PLEASE FAX RESULTS �p PROJECT7`- <br /> J <br /> PROJECT NO <br /> 1 NO �c�ti�' Q" �� J Verification <br /> SAMPLED BY 01 con- <br /> (Signature) <br /> o <br /> (Signature) ra n- P� ACU Lt <br /> Date Time Sample ID ers REMARKS MISC <br /> S CX w e— <br /> rt F, 21P E 113JF <br /> T t-/- <br /> _ <br /> Itire FTiA 5.Q <br /> Relmquishe y I Time Received By Dat Time <br /> (Signal (Signature) Z I O SO <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Ttme <br /> (Signature) (Signature) <br /> Ot iginal-Send Yellow-File Pink-Log Book <br />
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