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ARCHIVED REPORTS_XR0006724
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_XR0006724
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Entry Properties
Last modified
5/5/2020 10:33:26 AM
Creation date
5/5/2020 9:46:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006724
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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Condor Earth Technologies, Inca <br /> CHAIN-OF-CVS 1 O 1 ❑ 21663 Brun Lane X 188 Frank West Circle, Suite I <br /> N 6852 P O Box 3905 /Sonora, California 95370 Stockton,CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth com(e-mail) condor@condorstockton com(e mail) <br /> SHIPPED TO: SEND RESULTS TO } <br /> NAME �� �/✓, f F <br /> OFFICE _ 8g �r�.. Me5-t-C,- .STc- <br /> t'::_ 5 zi S S7`�� fiC s2 <br /> ❑ PLEASE FAX RESULTS PROJECT �.A " ,` l�✓ �llc c � <br /> PROJECT NO 1707C, J Verification <br /> NO v Sti5 0 k N <br /> SAMPLED BY of <br /> (Signature) con- <br /> tain- <br /> Date <br /> on-tarn-Date Time Sample ID ers o r q�`' REMARKS MISC <br /> 0X4-Ia(Cl 11.E,,79 e � X Y1 ,q 6�4� <br /> C' Z r`^c- (� <br /> C_1,A Orl <br /> 7 F <br /> >'I Reltnqutshe Date Time Received By _ Date Time <br /> (Signat� 10 •.50 (Signature) <br /> Relinquished By / / _ Date Time Recei e4Afy D to Time <br /> y (Signature) (/t _.___� ,�' 71 (sign ) K <br /> z Relinquished By Date TimeR el t T <br /> (Si natur Signature) <br /> i <br /> Ot igii end Yellow- ' Pink-Log Book <br />
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