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ARCHIVED REPORTS_XR0004448
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004448
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Entry Properties
Last modified
2/6/2020 4:44:25 PM
Creation date
2/6/2020 3:50:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004448
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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i C ondo*Earth Technologies, Inc. • <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite 1 <br /> 5950 <br /> P.O. Box 3905 1 Sonora,California 95370 Stockton, CA 95206 <br /> N! 5 9 5 0 209-532-0361 209--234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mai!) condor@condorstockton.com(e-mai!) <br /> SHIPPED TO: SEND RESULTS TO.-- <br /> C7"A) <br /> NAME: 1141eWtZw.,u-9 k PF <br /> OFFICE: -me MAJ <br /> ?LEASE FAX RESULTS: PROJECT: .376/ /3 - f3oy£rl I.4Avrl_&A <br /> PROJECT NO. 3 � /� ��c.'• ✓ Verification <br /> NO. 4 <br /> SAMPLED BY: of �Pti r <br /> (Signature) G e. tain- <br /> ers °��'�� REMARKS: MISC. <br /> Date Time ample ID � o <br /> ' 10-aa-o3 !1 =/0G 3?L&0- TS-- 4r- D Zo 03 4 ve ✓ l 0XyA'rA .9r L_S <br /> -.2&-o3 12 ' 43- 3-31 - io&ejw '� ✓ / ✓ <br /> jo-x-o 1 so ;V,113- C"rs- 1 101,0103F 0? / ./ ✓ Gfl -C� <br /> a tk, a3~ B- S-,o�' v a3 '� '� '� A <br /> a-�u- 3 <br /> �k)k lo-,21-o3 ii s d I j W I r:prG-��t- Igzt16 .� ,. .� b t P <br /> /1=as 3 �r3�cpr� -yx'- o ,�j 0 ✓ �Ts E <br /> 1-u3 : SX4-1B-�PrG- 3t-to/z� 0 <br /> Aa 3 13`116 C.4 <br /> 7� io-ar-o 3 /�': 3 6r+t3- p�- �'-to%i/o3 ,� / ;Z- F013 <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> r j <br /> (Signature) lG ° �{' t{Z (Signature) <br /> Relinquishe B Date: Time: Received By: Date: Time- <br /> (Signature) <br /> ime:(Si nature) (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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