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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0523626
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COMPLIANCE INFO
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Entry Properties
Last modified
2/12/2020 12:21:04 PM
Creation date
2/12/2020 11:07:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523626
PE
2950
FACILITY_ID
FA0015947
FACILITY_NAME
IN THE PUBLIC RIGHT-OF-WAY
STREET_NUMBER
0
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
W FREMONT ST
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Condor Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> N° 5052 P.O. Box 3905/Sonora, California 95370 Stockton, CA 95206 <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 /> Arcloo NAME: I'Notso_ <br /> OFFICE: sint_K A <br /> 9 PLEASE FAX RESULTS: MJECT: V isle, _54r,-,4 196a6,� 016w TC <br /> PROJECT NO. <br /> � NO. <br /> ����;• ✓ Verification <br /> y � <br /> SAMPLED BY: �1 -- coa n �Pv `� �� <br /> (Signature) taro- Q' <br /> Date Time Sample ID ers '�� REMARKS : MISC. <br /> 3-15-o5 lboa o , <br /> 1'4 OD yD3 P t I 3 l .4e7-134, — P <br /> IS 131 llpp"L)o dD <br /> Relinquished By: Date: Time: Received By: 0 Date: Time: <br /> (Signature) L4;q6 N'l (Signature) PIC PrlGt 03 6 OS /& - 5(0 <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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