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3500 - Local Oversight Program
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PR0545790
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Entry Properties
Last modified
6/15/2020 12:28:42 PM
Creation date
6/15/2020 12:21:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545790
PE
3528
FACILITY_ID
FA0011052
FACILITY_NAME
West Wind
STREET_NUMBER
100
Direction
S
STREET_NAME
VENTURA
STREET_TYPE
AVE
City
STOCKTON
Zip
95203-2920
APN
14505017
CURRENT_STATUS
02
SITE_LOCATION
100 S VENTURA AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CHAIN-OF-CUSTODY Condor Earth Technologies, Inc. <br /> El 21663 Brian Lane 1125 N.Golden State Blvd.,Ste.H Q Agro Environmental 0 1100 C Airport Blvd. <br /> N903-0-23 <br /> g Ot� G r3 J•] P.O.Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> Sonora,California 95370 Turlock,California 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: FEB - 1 1995 <br /> NAME: V — (e' <br /> OFFICE: <br /> BILLING INSTRUCTIONS: y o�vVta, ( <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: — <br /> PROJECT NO, 5 <br /> v Py <br /> SAMPLED BY: - <br /> (Signature) .�,_ �i�- Q� �4) calq� <br /> Date Time Sample ers O REMARKS: MISC. <br /> I//q � (J to . Z- I mss. <br /> z- () 0 sem; - a r7)- a; <br /> Z dl dI k 7 Z— < 2_ to I V Ma — VlAL <br /> 2- <br /> =10 <br /> Z- Z�lz 6 �3 <br /> i 'Z= o - 5f"Z_-67-W. _ 3 33,3 - <br /> 2 D <br /> /I72- <br /> - <br /> - 5P4-- 12 C) 7 <br /> Relinquished B mxNeive ) <br /> (Signature) I� 7' Signature) <br /> Relinquished.By; D te: � .Time: . Received By: ate: Time: <br /> (Signature) (Signature) <br /> Relinquished B :. Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book OMOU GRA PHICS(M)5270567 FORM J592 - <br />
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