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ARCHIVED REPORTS_XR0006752
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_XR0006752
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Entry Properties
Last modified
5/5/2020 10:36:21 AM
Creation date
5/5/2020 9:55:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006752
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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CHAFF-CUSTODY �J(40 -C) �_' <br /> ❑ 21663 Bilin Lan(, 1125 N Golden State Blvd Shite 1H ❑ 1108 C Airport Blvd <br /> 0P 0 Box 3905 �,P 0 Box 3448 P 0 Box 30035 <br /> 1% 234 Sonora California 95370 Turlock California 95381 Pensacola, Florida 32503 <br /> (209) 532 0361 (209) 668 9234 (904)477 0454 <br /> FAX (209) 532 0773 FAX (209) 668 9248 FAX (904)477 0534 <br /> SHIPPED TO: � 41(d <br /> SEND RESULTS TO� M'e1je f NAME �At)e <br /> OFFICE <br /> U �2ti <br /> ❑ PLEASE FAX RESULTS PROJECT C APO h <br /> PROJECT NO J Verification <br /> 1101 _ NO �5�5 <br /> / //7 / <br /> SAMPLED BYof <br /> (Signature) �� <br /> �ru con- Q' � <br /> CICL 4�l/'� tarn- <br /> Date Citric Sdniple ID ers REMARKS MISC <br /> �2c_o let�F <br /> _4�1 - j 303 <br /> CTOE') 3o 73 <br /> Relinquished By G D e Time �Received y;(Signature) 1ibnatur ldl �� � <br /> Relniqui5hed By ate Time Received By Date d Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) _ (Signature) <br /> Original-Send Yellow-File Pink-Log Book GAROLI GRAPHICS(209)$273667 FORM J692 <br />
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