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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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317
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2900 - Site Mitigation Program
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PR0516724
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SITE HISTORY
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Entry Properties
Last modified
2/25/2019 3:17:56 PM
Creation date
2/25/2019 1:16:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0516724
PE
2950
FACILITY_ID
FA0012756
FACILITY_NAME
ELKS LODGE PROPERTY
STREET_NUMBER
317
Direction
S
STREET_NAME
CENTER
City
STOCKTON
Zip
95202
APN
13731010
CURRENT_STATUS
01
SITE_LOCATION
317 S CENTER
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Condor Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard ® 188 Frank West Circle, Suite I <br /> P.O.Box 3905 Suite G Stockton, CA 95206 <br /> N0- 3208 Sonora,California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 209-532-0773 (fax) 209-668-9257 (fax) condor@condorstockton.com(e-mail; <br /> SHIPPED TO: SEND RESULTS TO: <br /> /,f� 1,R�o�G.7�vi�J NAME: 1, ee_ N'�orfe <br /> Hai- K'r,KJ&j OFFICE: _rt-cKlb-t <br /> ®" PLEASE FAX RESULTS: PROJECT: k94 e <br /> PROJECT NO. ✓ Verification <br /> T6 ?3 b f0. 4StiS n <br /> SAMPLED BY: 1. ec/�lo•-/� v �p <br /> (Signature) con- <br /> to n- QIP IQ� <br /> Date Time Sample ID ers r1\ v REMARKS: MISC. <br /> / o3073/x -3'I"/a-r6-Z <br /> 30731 -%/%- 6?-Z <br /> 3 7r---711-36-o,f" v �/ I/ ✓ c7� 3c�� <br /> / -3 ?:s7 - %/�?-.Z /,.t"- <br /> v `� 1/ � ✓Cl <br /> l�iIla s 3073o- T/'/l— 1"3 -( �C;23 <br /> l941 373v- rn/7--yr -(, s- 1 <br /> 3 50 <br /> Relinquished By: Date: Tom. ,e: Received By: Date: Ti <br /> (Signature) ! S/�v 3 • (Signature) a_4_,4, ?kb K <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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