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ARCHIVED REPORTS_XR0004442
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004442
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Entry Properties
Last modified
2/6/2020 5:01:06 PM
Creation date
2/6/2020 3:44:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004442
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CondogEarth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 188 Frank West Circle, Suite I <br /> N® 5054 P.O. Box 3905 /Sonora, California 95370 Stockton, CA 95246 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@ condorstockton.com(e-mail) <br /> SHIPPED TO.. SEND RESULTS TO: <br /> Ap Lm5 NAME: L�e�Woe_ <br /> Ce&6 OFFICE: MijL6 car 1 39 �y i 5u. e t3 <br /> ff3cI8 (2-09)3ff+9410/ Fx ` Y138E— 19 r" <br /> gr PLEASE FAX RESULTS: PROJECT: MALMA•CC4 (31101) <br /> PROJECT NO. . ✓ Verification <br /> 3 � NO. <br /> SAMPLED BY: of �Qti <br /> (Signature) ` <br /> Con- <br /> tain- <br /> Date Time Sample ID ers O REMARKS : MISC. <br /> lur <br /> Mx13 <br /> c;:jPC j �Lat c,.• —3 Z3 Gtr <br /> �;.�j,'� '�'��l '" rc�t.� i l _� ��, n�� ►�tvt=� -�� trlt�-� :.:.�;�c- <br /> �y12�/by,�.; �1��,-yY`•� ,J3� <br /> I l IiJY 7 T`!'� ftit�r�. W 3-L l �c'-J `.liil%t l4' )4c ki Til '1y'-'7 7'"' l•1L1' t��., <br /> J y:r-'')- ''k 1 s-My Zai C' 1 Y+rl j t i�� 74 T <br /> Relinquished By: L Dat Time: Receiv Dat I Tiroe: <br /> (Signature) <br /> j J� 16:10 (Signature) .2 <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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