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ARCHIVED REPORTS XR0011653
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0521409
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ARCHIVED REPORTS XR0011653
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Entry Properties
Last modified
6/20/2019 1:50:13 PM
Creation date
6/20/2019 11:46:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011653
RECORD_ID
PR0521409
PE
2950
FACILITY_ID
FA0014531
FACILITY_NAME
PLYMOUTH ROAD STORM DRAIN PROJECT
STREET_NUMBER
0
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
0 COUNTRY CLUB BLVD
QC Status
Approved
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EHD - Public
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r r� �■r r r r r r r r r r ■r r r rr �r r �r <br /> Cone* Earth Technologies, Inc. <br /> V CHAIN-OF-CUSTODY [ 21663 Brian Lane I88 Frank West Circle Suite ! <br /> PO Box 3905/Sonora California 95370 Stockton, CA 95206 <br /> CE209-532-0361 <br /> Q 316— � 209-234-05f& <br /> CR r 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@eondorearth conna-mail <br /> ( ) condorCwcondorstockton corn (e-rnail) <br /> rn SHIPPED TO: �� SEND RESULTS TO <br /> mQNAME -�yh� Q CLQ <br /> 0. <br /> OFFICE S� <br /> Ql <br /> tl] <br /> PLEASE FAX RESULTS PROJECT MaF tIM4 y <br /> PROJECT VD I � NO StiS 4 J Verification <br /> N SAMPLED BY I � � _ / °f V� Q2 'yam <br /> m (Signature) r.,,41 AL.�4,cot% con-� tain- Q' <br /> m Date Time Sample ID er5 b{` <br /> In Date P REMARKS MISC <br /> In 9= <br /> U i q-��l•a3 -to—�-5- yl �- �P5 - 9 iq-03 yx an Acj_" c_. t� L <br /> 4912 0 4 J��A - �►P#o-S.•z�c-a3 X- X � -�� <br /> ►o.'S.S -Wr <br /> CSPji -j-24-03 ,c ot- <br /> zGP12 -Q• zu-o3 X K bcFC5 <br /> 1.3 .30 GF13-q-24.03 AGA <br /> TA0C � <br /> ls'°p -1q-2`j ° <br /> u� w' <br /> uw <br /> re <br /> 0Cm <br /> 0 w <br /> CE <br /> y <br /> rY <br /> O <br /> QC__3 <br /> Relinquished S) Datece <br /> Tim Received By Dale Tirne <br /> (Si nature) .2 _d (Signature) 912-1/ a3 <br /> Relinquished By Dite Time Recciticd By Date Timely � <br /> CE I(Signature) r`J�2f'-a3 f� f"Z (St nature) <br />� ]tclin unshed B <br /> Relinquished y Date Time Received By Date Time <br /> o <br /> (Signature) (Si nature) <br /> ry Ociguial-Settcf Ye##ow-Fi#e <br /> Pink-Log BDDk <br />
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