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ARCHIVED REPORTS_XR0006744
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_XR0006744
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Entry Properties
Last modified
5/5/2020 10:35:23 AM
Creation date
5/5/2020 9:53:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006744
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
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LSauers
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EHD - Public
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CHAIN-OF-CUSTODY Condor Earth Technologies, Inc. - <br /> 21663 Brian Lane 1125 N Golden State Blvd,Ste H L] Agro Environmental [] 1100 C Airport Blvd <br /> N°- 04 P O Box 3905 P O Box 3448 5651 N Pershing Ave C-3 P O Box 30035 <br /> Sonora,California 95370 Turlock,Califomia 95381 Stockton,California 95207 Pensacola,Florida 32503 <br /> (209)532 0361 (209)668-9234 (209)474 1492 (904)477 0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478 1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: �— <br /> co NAME J <br /> OFFICE <br /> BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS �`� LABORATORY REPORT NUMBER __ � ,�7 l <br /> PROJECT NO <br /> 1701 Cati,f9as CaTa4� NO <br /> SAMPLED BY ry r, of <br /> con- Qy <br /> (Signature) �e4c.L/ tarn- IT, �)�0&�c�`�"�q <br /> Date Time Sample ID ers '�, p ` R E M A R K S MISC <br /> 5L60 11707 -581- 4 5- 5 c -3 x X -22� <br /> , IS -1 tai 531- Io• 5� 48 3 (- <br /> Relinquished By J Date Time Leceived(Si nature) ref y SY Ey Date Tim n-i <br /> Relinquished By Date Time Receive By Date Time <br /> (Signature) (Signature) <br /> Llinquished By Date Time Received By Date Time <br /> nature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book GAROLI GRAPHICS 1209)527 3667 FORM J692 <br />
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